Nichols, Shana
Nichols, Shana is an sole proprietor health care provider with primary practice located at 63 Old East Neck Rd , Melville NY 11747-2806. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Nichols, Shana can be contacted via phone (631) 923-0923.Contact Information
Primary practice address
63 Old East Neck Rd
Melville NY 11747-2806
Phone: (631) 923-0923
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 016634 | New York |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2951 | Colorado |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 2011000658 | Missouri |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 001285 | Iowa |
Profile Details
NPI number | 1073605614 |
---|---|
LBN Legal business name | Nichols, Shana |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 29th, 2006 |
Last updated | Apr 20th, 2015 - about 10 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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