Individual
DR. JOANNE NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-8712
Mailing address
53 CHESTER ST, NASHUA, NH 03064-1945
(603) 886-2704
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2850
MA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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