Carol J Sutherla Nickerson in North Chatham - Psychologist
Carol J Sutherla Nickerson - NPI 1548244254
Carol J Sutherla Nickerson is a Psychologist in North Chatham, Massachusetts. Carol J Sutherla Nickerson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Carol J Sutherla Nickerson is 1548244254. The last update date is 2009-02-03.
Carol J Sutherla Nickerson's current location address is Po Box 563, North Chatham, Massachusetts. You can contact this provider via phone number 5084325640 and fax number 5084325659. The mailing address for Carol J Sutherla Nickerson is Po Box 563, North Chatham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Carol J Sutherla Nickerson |
|---|---|
| Address | Po Box 563, North Chatham, Massachusetts |
| Phone Number | 5084325640 |
| Fax Number | 5084325659 |
| Sole Proprietor | Y |
| Credentials | LICSW BCD |
NPI Number Detail
| NPI Number | 1548244254 |
|---|---|
| Provider Enumeration Date | 2005-12-06 |
| Last Updated Date | 2009-02-03 |
Provider Mailing Address Detail
| Address | Po Box 563 |
|---|---|
| City | North Chatham |
| State | Massachusetts (MA) |
| Post Code | 26500563 |
| Phone Number | 5084325640 |
| Fax Number | 5084325659 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 1023047 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P06795 | BCBS | ||
| 1890743 | MBHP | ||
| 762332 | TUFTS | ||
| 184437000 | MAGELLAN |
Post Comment/ Review Below
What is the unique identifier code issued to Carol J Sutherla Nickerson by the Centers for Medicare & Medicaid Services (CMS)?
The Carol J Sutherla Nickerson has been assigned the NPI (National Provider Identifier) 1548244254. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Carol J Sutherla Nickerson's physical address?
The Carol J Sutherla Nickerson is physically located at Po Box 563, in the city of North Chatham, MA, with the postal code 26500563.
What is Carol J Sutherla Nickerson's specialized field of practice, and what is the corresponding taxonomy classification code?
The Carol J Sutherla Nickerson's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did Carol J Sutherla Nickerson receive its 1548244254 assignment?
The Carol J Sutherla Nickerson was assigned its 1548244254 on 2005-12-06, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Carol J Sutherla Nickerson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Carol J Sutherla Nickerson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2009-02-03.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH