Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASEN RALPH NICHOLS, M.A.
ActiveMR. JASEN RALPH NICHOLS, M.A. is a Clinical Psychologist healthcare provider located in ELIZABETH, West Virginia. NPI 1528332921 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · ELIZABETH, WV
Registration Details
- NPI Number
- 1528332921
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 2, 2012 (14.440832874012 yrs)
- Last Updated
- Feb 17, 2017
- License
-
1011 (WV)
Practice Information
- Address
-
483 COURT STREETELIZABETH, WV, 261430609Browse WV providers · Browse ZIP 26143
- Phone
- 3042753301
- Fax
- 3042754798
- Primary Specialty
-
Clinical Psychologist
103TC0700X
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.