Cynthia Nichols in Traverse City - Clinical

Cynthia Nichols - NPI 1588794069

Cynthia Nichols is a Clinical in Traverse City, Michigan. Cynthia Nichols practices all healthcare services and medical treatments related to Clinical. The NPI Number for Cynthia Nichols is 1588794069. The last update date is 2018-10-31.

Cynthia Nichols's current location address is 550 Munson Ave, Traverse City, Michigan. You can contact this provider via phone number 2319359307 and fax number 2319359300. The mailing address for Cynthia Nichols is 550 Munson Ave, Traverse City, Michigan. To know further, please read the information below!

Provider Profile Detail

Provider Name Cynthia Nichols
Address 550 Munson Ave, Traverse City, Michigan
Phone Number 2319359307
Fax Number 2319359300
Sole Proprietor N
Credentials PHD

NPI Number Detail

NPI Number 1588794069
Provider Enumeration Date 2007-03-06
Last Updated Date 2018-10-31

Provider Mailing Address Detail

Address 550 Munson Ave
City Traverse City
State Michigan (MI)
Post Code 496863580
Phone Number 2319359307
Fax Number 2319359300

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Licence No 6301008026
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
CN008026 MI BLUE CROSS

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FAQs about Cynthia Nichols

What is the unique 10-digit identification code issued to Cynthia Nichols by the Centers for Medicare & Medicaid Services?

The Cynthia Nichols has been assigned the NPI (National Provider Identifier) 1588794069 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete address where Cynthia Nichols is physically located?

The Cynthia Nichols is situated at the following address: 550 Munson Ave, Traverse City, MI 496863580.

What is the Cynthia Nichols's specialty and taxonomy code?

The Cynthia Nichols's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.

On what date did the Cynthia Nichols receive the assignment of its 1588794069 from the Centers for Medicare & Medicaid Services?

The Cynthia Nichols was issued its 1588794069 by the Centers for Medicare & Medicaid Services on 2007-03-06.

As of what date were the details pertaining to Cynthia Nichols last refreshed?

The information related to the Cynthia Nichols, including its address, specialty, and other relevant details, was last updated on 2018-10-31.

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