Individual
DR. DANIEL BRIAN NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
17732 OAK PARK AVE, TINLEY PARK, IL 60477
(708) 342-1773
(708) 342-1780
Mailing address
17732 OAK PARK AVE, TINLEY PARK, IL 60477
(708) 342-1773
(708) 342-1780
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
10/19/2006
Last updated
07/08/2007
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