Shana M. Nicholas, Psy.D. Pc in Evanston - Clinical
Shana M. Nicholas, Psy.D. Pc - NPI 1508051541
Shana M. Nicholas, Psy.D. Pc is a Clinical in Evanston, Illinois. Shana M. Nicholas, Psy.D. Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Shana M. Nicholas, Psy.D. Pc is 1508051541. The last update date is 2007-09-12.
Shana M. Nicholas, Psy.D. Pc's current location address is 636 Church St Ste 515, Evanston, Illinois. You can contact this provider via phone number 8477321704. The mailing address for Shana M. Nicholas, Psy.D. Pc is 636 Church St Ste 515, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Shana M. Nicholas, Psy.D. Pc |
|---|---|
| Address | 636 Church St Ste 515, Evanston, Illinois |
| Phone Number | 8477321704 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CLINICAL P |
|---|---|
| Authorized Official Name | Nicholas M. Shana |
| Credentials | PSY.D. |
| Telephone Number | 8477321704 |
NPI Number Detail
| NPI Number | 1508051541 |
|---|---|
| Provider Enumeration Date | 2007-09-12 |
| Last Updated Date | 2007-09-12 |
Provider Mailing Address Detail
| Address | 636 Church St Ste 515 |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602014581 |
| Phone Number | 8477321704 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Post Comment/ Review Below
What is the unique identifier code issued to Shana M. Nicholas, Psy.D. Pc by the Centers for Medicare & Medicaid Services (CMS)?
The Shana M. Nicholas, Psy.D. Pc has been assigned the NPI (National Provider Identifier) 1508051541. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Shana M. Nicholas, Psy.D. Pc is physically located?
The Shana M. Nicholas, Psy.D. Pc is physically situated at the following address: 636 Church St Ste 515, Evanston, IL, 602014581.
What is Shana M. Nicholas, Psy.D. Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Shana M. Nicholas, Psy.D. Pc's specialized field of practice is Clinical, and the corresponding taxonomy code that categorizes this area of specialization is 103Tc0700X.
When did Shana M. Nicholas, Psy.D. Pc receive its 1508051541 assignment?
The Shana M. Nicholas, Psy.D. Pc was assigned its 1508051541 on 2007-09-12, which is the date when this unique identifier was issued to the organization.
As of what date were the Shana M. Nicholas, Psy.D. Pc's details last updated?
The information pertaining to the Shana M. Nicholas, Psy.D. Pc, including its address, specialty, and other details, was most recently updated on 2007-09-12.