Samantha Lee Nichols

NPI #1164394987 in Ellicott City, Maryland

Provider Information

NPI Number: 1164394987
Entity Type: Individual
Name: Samantha Lee Nichols
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Enumeration Date: Sep 22, 2025
Last Updated: Sep 22, 2025

Practice Location

Address: 10910 CLARKSVILLE PIKE
City: Ellicott City
State: Maryland
ZIP Code: 21042-6106
Phone: (443) 398-5826

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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