Pamela Nicholson
NPI #1639376940 in Fairfield, California
Provider Information
- NPI Number
- 1639376940
- Entity Type
- Individual
- Name
- Pamela Nicholson
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Developmental Therapist
- Enumeration Date
- Jun 29, 2007
- Last Updated
- Nov 8, 2010
Practice Location
- Address
- 490 CHADBOURNE RD
- Address 2
- SUITE A
- City
- Fairfield
- State
- California
- ZIP Code
- 94534-9613
- Phone
- (707) 422-0464
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Developmental Therapist |
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