Individual
BETHANY ROSE NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NCSP
Contact information
Practice address
100 MORRISSEY BLVD, BOSTON, MA 02125-3300
(413) 822-0796
Mailing address
100 MORRISSEY BLVD, BOSTON, MA 02125-3300
(413) 822-0796
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
446249
MA
Other
Enumeration date
08/13/2026
Last updated
08/13/2026
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