Individual
DR. JOHN ARTHUR NICHOLS
Active
Individual
DR. JOHN ARTHUR NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
4101
MA
103TC0700X
Clinical Psychologist
Primary
4101
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
169987000
MAGELLAN HEALTH
MA
01
—
712923
TUFTS HEALTH PLAN
MA
01
—
W04075
BLUE CROSS AND BLUE SHIEL
MA
Enumeration date
11/15/2006
Last updated
03/30/2010
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