Organization
PATRICK NICHOLAS, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK JAMES NICHOLAS PSY.D. (PSYCHOLOGIST)
(785) 764-2121
Entity
Organization
Contact information
Practice address
1035 VERMONT ST STE C, LAWRENCE, KS 66044-3072
(785) 764-2121
Mailing address
1035 VERMONT ST STE C, LAWRENCE, KS 66044-3072
(785) 764-2121
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1910
KS
Other
Enumeration date
11/09/2010
Last updated
11/09/2010
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