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Individual

DR. CHRISTOPHER RICHARD NEARY NICHOLAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1102 S PARK ST, MADISON, WI 53715-1708
(608) 263-9550
(608) 263-0135
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
3160
WI
103T00000X
Psychologist
Primary
3160
WI

Other

Enumeration date
03/03/2011
Last updated
01/13/2021
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