Mary Alice Nicholson in Kansas City - Psychologist

Mary Alice Nicholson - NPI 1215090261

Mary Alice Nicholson is a Psychologist in Kansas City, Missouri. Mary Alice Nicholson practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Mary Alice Nicholson is 1215090261. The last update date is 2023-12-09.

Mary Alice Nicholson's current location address is 400 E Red Bridge Rd, Kansas City, Missouri. You can contact this provider via phone number 8169421811 and fax number 8169420419. The mailing address for Mary Alice Nicholson is 400 E Red Bridge Rd, Kansas City, Missouri. To know further, please read the information below!

Provider Profile Detail

Provider Name Mary Alice Nicholson
Address 400 E Red Bridge Rd, Kansas City, Missouri
Phone Number 8169421811
Fax Number 8169420419
Sole Proprietor Y
Credentials PH.D.

NPI Number Detail

NPI Number 1215090261
Provider Enumeration Date 2006-12-19
Last Updated Date 2023-12-09

Provider Mailing Address Detail

Address 400 E Red Bridge Rd
City Kansas City
State Missouri (MO)
Post Code 641314035
Phone Number 8169421811
Fax Number 8169420419

Provider's Primary Taxonomy Detail

Speciality Psychologist
Taxonomy 103T00000X
Licence No PY01361
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
22079025 MO BLUE CROSS & BLUE SHIELD

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FAQs about Mary Alice Nicholson

What is the unique 10-digit identification code assigned to Mary Alice Nicholson by the Centers for Medicare & Medicaid Services?

The Mary Alice Nicholson has been issued the NPI (National Provider Identifier) 1215090261, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Mary Alice Nicholson?

The Mary Alice Nicholson is physically situated at 400 E Red Bridge Rd, in the city of Kansas City, state of MO, with the postal code 641314035.

What is Mary Alice Nicholson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mary Alice Nicholson is Psychologist, and the taxonomy code that classifies this field of practice is 103T00000X.

When did Mary Alice Nicholson receive its 1215090261 assignment?

The Mary Alice Nicholson was assigned its 1215090261 on 2006-12-19, which is the date when this unique identifier was issued to the organization.

As of what date was the information regarding Mary Alice Nicholson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Mary Alice Nicholson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-12-09.

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