Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHAEL A NICHOLAS, PHD
Active Sole ProprietorDR. MICHAEL A NICHOLAS, PHD is a Clinical Neuropsychologist healthcare provider located in PADUCAH, Kentucky. NPI 1467471565 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · PADUCAH, KY
Registration Details
- NPI Number
- 1467471565
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 19, 2006 (20.102830117371 yrs)
- Last Updated
- Jun 5, 2008
- License
-
850 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
100 FOUNTAIN AVESUITE 220PADUCAH, KY, 420012771Browse KY providers · Browse ZIP 42001
- Phone
- 2704084192
- Fax
- 2704431784
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
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.