Individual
MR. GEORGE T NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1014 VAQUERO RD, PEBBLE BEACH, CA 93953-2734
(831) 642-9613
Mailing address
1014 VAQUERO RD, PEBBLE BEACH, CA 93953-2734
(831) 642-9613
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
17088
CA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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