Individual
BRYAN K. NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9911 W PICO BLVD STE 1550, LOS ANGELES, CA 90035-2712
(310) 284-8060
Mailing address
9911 W PICO BLVD STE 1550, LOS ANGELES, CA 90035-2712
(310) 284-8060
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSY10255
CA
103TC0700X
Clinical Psychologist
PSY10255
CA
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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