Individual
LAWRENCE J NICHTA JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH. D.
Contact information
Practice address
2120 SOUTH GREEN ROAD, SUITE 101, SOUTH EUCLID, OH 44121-3317
(216) 381-1113
Mailing address
2120 SOUTH GREEN ROAD, SUITE 101, SOUTH EUCLID, OH 44121-3317
(216) 381-1113
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4435
OH
Other
Enumeration date
06/27/2006
Last updated
09/20/2012
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