Individual
DR. JOY G. NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2195 CLUB CENTER DR STE A, SAN BERNARDINO, CA 92408-4162
(909) 651-1899
(909) 558-3809
Mailing address
1501 KINGS HWY, PO BOX 33932, SHREVEPORT, LA 71130-3932
(318) 675-4783
(318) 675-6382
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
1062
LA
103G00000X
Clinical Neuropsychologist
Primary
PSY20567
CA
Other
Enumeration date
11/27/2006
Last updated
07/21/2022
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