Individual
BRIAN NICHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD, HSPP
Contact information
Practice address
1300 W JEFFERSON ST, SUITE C, FRANKLIN, IN 46131-9121
(317) 736-8474
(317) 736-6040
Mailing address
1300 W JEFFERSON ST, SUITE C, FRANKLIN, IN 46131-9121
(317) 736-8474
(317) 736-6040
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20040652
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100194240
—
IN
Enumeration date
11/01/2006
Last updated
10/21/2014
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