Individual
DR. ANN NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
701 SCOFIELD AVE, WASCO, CA 93280-7515
(661) 758-8400
Mailing address
701 SCOFIELD AVE, WASCO, CA 93280-7515
(661) 758-8400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY20732
CA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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