Nichols, Wyatt Lee

Nichols, Wyatt Lee is an sole proprietor health care provider with primary practice located at 8142 Country Village Dr Ste 102 , Cordova TN 38016-2029. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Nichols, Wyatt Lee can be contacted via phone (901) 388-1893.

Contact Information

Primary practice address
8142 Country Village Dr Ste 102 Cordova TN 38016-2029
Phone: (901) 388-1893
Fax: (901) 388-1995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Forensic 103TF0200X P866 Tennessee
Behavioral Health & Social Service Providers / Clinical 103TC0700X P866 Tennessee

Profile Details

NPI number 1265464630
LBN Legal business name Nichols, Wyatt Lee
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 7th, 2006
Last updated Aug 8th, 2018 - about 6 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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