Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SHANA D MITZEL NICHOLAS, PSY D
ActiveDR. SHANA D MITZEL NICHOLAS, PSY D is a Clinical Psychologist healthcare provider located in WHEATON, Illinois. NPI 1174633192 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · WHEATON, IL
Registration Details
- NPI Number
- 1174633192
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 30, 2006 (19.940543434059 yrs)
- Last Updated
- Jul 29, 2016
- License
-
071006921 (IL)
Practice Information
- Address
-
300 E ROOSEVELT RDSUITE 105WHEATON, IL, 601871908Browse IL providers · Browse ZIP 60187
- Phone
- 8477321704
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in WHEATON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. CONNIE VALENTINI | PSY.D. | 1104885334 |
| DR. GREGORY N LEWIS | PSY.D. | 1063471027 |
| DR. BARRETT MCRAY | PSY.D. | 1013976000 |
| DR. KRISTIN STOCKMAN-BALC | PH.D. | 1376502245 |
| DR. STEPHANIE SMEIR | PSY.D. | 1285697045 |
| TARA A KACMARCIK | PSY.D. | 1245294842 |
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.