Individual
DR. CLARK MATTHEW NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
75 MAIDEN LN STE 323, NEW YORK, NY 10038-4810
(212) 379-6447
Mailing address
75 MAIDEN LN STE 323, NEW YORK, NY 10038-4810
(212) 379-6447
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
017671
NY
Other
Enumeration date
05/25/2007
Last updated
01/23/2023
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