Individual
DR. OWEN THOMAS NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D., M.P.
Contact information
Practice address
3415 CANTON PIKE, HOPKINSVILLE, KY 42240-9109
(270) 886-1896
Mailing address
3415 CANTON PIKE, HOPKINSVILLE, KY 42240-9109
(270) 886-1896
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0680
KY
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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