Individual
CYNTHIA NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
550 MUNSON AVE, STE. 201, TRAVERSE CITY, MI 49686-3580
(231) 935-9307
(231) 935-9300
Mailing address
550 MUNSON AVE, STE. 201, TRAVERSE CITY, MI 49686-3580
(231) 935-9307
(231) 935-9300
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
6301008026
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CN008026
BLUE CROSS
MI
Enumeration date
03/06/2007
Last updated
10/31/2018
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