Individual
DR. BRANDON J MCNICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
99-128 AIEA HEIGHTS DR STE 109, AIEA, HI 96701-3916
(808) 554-2867
(808) 824-3345
Mailing address
99-128 AIEA HEIGHTS DR STE 109, AIEA, HI 96701-3916
(808) 554-2867
(808) 824-3345
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-1632
HI
Other
Enumeration date
12/29/2016
Last updated
03/06/2017
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