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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANA NICHOLS, PHD

Active Sole Proprietor

SHANA NICHOLS, PHD is a Psychologist healthcare provider located in MELVILLE, New York. NPI 1073605614 is currently active in the NPPES registry. Verify at CMS.

Psychologist · MELVILLE, NY

Registration Details

NPI Number
1073605614
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2006 (19.691679876693 yrs)
Last Updated
Apr 20, 2015
Licenses
016634 (NY)
2951 (CO)
2011000658 (MO)
001285 (IA)
Sole Proprietor
Yes

Practice Information

Address
63 OLD EAST NECK RD
MELVILLE, NY, 117472806
Browse NY providers · Browse ZIP 11747
Phone
6319230923
Primary Specialty
Psychologist
103T00000X
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Psychologist

Other Psychologist Providers in MELVILLE, NY

Name Credential NPI
JERROLD H. ABRAMSON 1528017696
DR. RICHARD M. TUCK PSY.D. 1578669768
DR. ARTHUR LEWIS POPP PH.D. 1497842678
GEORGE ANDREW BLEDNICK PHD 1902984370
MRS. ANA MARIA CIFUENTES M.S. 1174666242
MARILYN BLUMENTHAL PHD 1265554422
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.