Wyatt L. Nichols, Ph.D., Pc

LBN: Wyatt L. Nichols, Ph.D., Pc
Wyatt L. Nichols, Ph.D., Pc is an health care organization with primary practice located at 8142 Country Village Dr Ste 102 , Cordova TN 38016-2029. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Forensic. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Wyatt L. Nichols, Ph.D., Pc can be contacted via phone (901) 388-1893, or through Nichols, Wyatt Lee 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:
Map and Directions
Authorized official contact:
Name: Nichols, Wyatt Lee PHD
Phone: (901) 388-1893

Health care specialties

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

Profile Details

NPI number 1356715445
LBN Legal business name Wyatt L. Nichols, Ph.D., Pc
DBA Doing business as
Authorized official Nichols, Wyatt Lee PHD
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2015
Last updated Aug 8th, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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