Individual
DR. BEVERLY ANNE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
452 WELCH ST, SILVERTON, OR 97381-1934
(503) 873-8740
(503) 874-2470
Mailing address
224 AMES CT, SILVERTON, OR 97381-1874
(503) 873-3242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1474
OR
Other
Enumeration date
12/03/2005
Last updated
07/08/2007
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