DR. Shana D Mitzel Nicholas, PSY D

NPI #1174633192 in Wheaton, Illinois

Provider Information

NPI Number: 1174633192
Entity Type: Individual
Name: DR. Shana D Mitzel Nicholas, PSY D
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - Clinical
Credential: PSY D
Enumeration Date: Aug 30, 2006
Last Updated: Jul 29, 2016

Practice Location

Address: 300 E ROOSEVELT RD
Address 2: SUITE 105
City: Wheaton
State: Illinois
ZIP Code: 60187-1908
Phone: (847) 732-1704

Specialties & Taxonomy Codes

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

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