Nicholls, Emma D

Nicholls, Emma D is an individual health care provider with primary practice located at 7300 E Indiana St Ste 103, Evansville IN 47715-2794. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Nicholls, Emma D can be contacted via phone (812) 401-8008.

Contact Information

Primary practice address
7300 E Indiana St Ste 103 Evansville IN 47715-2794
Phone: (812) 401-8008
Fax: (812) 401-8201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 20041775 Indiana

Profile Details

NPI number 1649347758
LBN Legal business name Nicholls, Emma D
Credentials PHD, HSPP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Jul 7th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649347758 NPPES
Indiana MEDICAID 200411690
Indiana Other 000000256887

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