Individual
ANTHONY TODD NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
102 N CHESTNUT ST, CHASKA, MN 55318-1918
(952) 475-2818
(952) 475-3356
Mailing address
102 N CHESTNUT ST, CHASKA, MN 55318-1918
(952) 475-2818
(952) 475-3356
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
LP5852
MN
103TC2200X
Clinical Child & Adolescent Psychologist
LP5852
MN
Other
Enumeration date
12/04/2014
Last updated
05/10/2020
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