Individual
DR. DONALD RICHARD NICHOLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
BALL STATE UNIV, DEPARTMENT OF COUNSELING PSYCHOLOGY, TC622, MUNCIE, IN 47306-1099
(765) 285-8058
(765) 285-2067
Mailing address
BALL STATE UNIV, DEPARTMENT OF COUNSELING PSYCHOLOGY, TC622, MUNCIE, IN 47306-1099
(765) 285-8058
(765) 285-2067
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
20040120A
IN
103TH0004X
Health Psychologist
20040120A
IN
Other
Enumeration date
07/30/2007
Last updated
07/30/2007
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