Shana Nichols, PHD

NPI #1073605614 in Melville, New York

Provider Information

NPI Number: 1073605614
Entity Type: Individual
Name: Shana Nichols, PHD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Credential: PHD
Enumeration Date: Sep 29, 2006
Last Updated: Apr 20, 2015

Practice Location

Address: 63 OLD EAST NECK RD
City: Melville
State: New York
ZIP Code: 11747-2806
Phone: (631) 923-0923

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary
Psychologist - Clinical — Clinical	103TC0700X

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