DR. Carol Williams Nickelson, PSYD

NPI #1922637982 in Ashburn, Virginia

Provider Information

NPI Number: 1922637982
Entity Type: Individual
Name: DR. Carol Williams Nickelson, PSYD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist - Clinical
Credential: PSYD
Enumeration Date: Apr 2, 2020
Last Updated: Oct 4, 2020

Practice Location

Address: 20925 PROFESSIONAL PLZ STE 230
City: Ashburn
State: Virginia
ZIP Code: 20147-3403
Phone: (703) 621-7121

Specialties & Taxonomy Codes

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

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