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Individual

ANDREW NICHOLS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
1389 CENTER DR, STE 200, PARK CITY, UT 84098-7659
(435) 565-1816
Mailing address
1389 CENTER DR, STE 200, PARK CITY, UT 84098-7659
(435) 565-1816

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
019911
NY
103T00000X
Psychologist
Primary
8651960-2501
UT

Other

Enumeration date
09/03/2008
Last updated
11/06/2014
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