Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. NICHOLAS THOMAS DE LOS REYES, PH.D.
Active Sole ProprietorDR. NICHOLAS THOMAS DE LOS REYES, PH.D. is a Clinical Psychologist healthcare provider located in SHOW LOW, Arizona. NPI 1003028721 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · SHOW LOW, AZ
Registration Details
- NPI Number
- 1003028721
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 4, 2007 (19.325416210294 yrs)
- Last Updated
- Oct 26, 2021
- Licenses
-
PSY9246 (CA)MFT13850 (CA)005077 (AZ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2051 EVERGREEN LN STE CSHOW LOW, AZ, 859017928Browse AZ providers · Browse ZIP 85901
- Phone
- 5625470910
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Marriage & Family Therapist
- Additional Specialty
- Clinical Psychologist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.