MR. Todd L. Nicholson, M.S.

NPI #1093052912 in Portland, Oregon

Provider Information

NPI Number: 1093052912
Entity Type: Individual
Name: MR. Todd L. Nicholson, M.S.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - School
Credential: M.S.
Enumeration Date: Jan 11, 2013
Last Updated: Jan 11, 2013

Practice Location

Address: 3701 SE MILWAUKIE AVE
Address 2: SUITE C
City: Portland
State: Oregon
ZIP Code: 97202-3835
Phone: (503) 314-7801

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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