Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MAUREEN TARA NICKERSON, PSYD
ActiveDR. MAUREEN TARA NICKERSON, PSYD is a Clinical Psychologist healthcare provider located in MEDICAL LAKE, Washington. NPI 1578130274 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · MEDICAL LAKE, WA
Registration Details
- NPI Number
- 1578130274
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 10, 2021 (4.9972105515057 yrs)
- Last Updated
- Jun 10, 2021
- License
-
PY60778414 (WA)
Practice Information
- Address
-
850 W. MAPLE ST.MEDICAL LAKE, WA, 99022Browse WA providers · Browse ZIP 99022
- Phone
- 5095654000
- Primary Specialty
-
Clinical Psychologist
103TC0700X
Other Clinical Psychologist Providers in MEDICAL LAKE, WA
| Name | Credential | NPI |
|---|---|---|
| DR. PATRICIA L. GUNDERSON | PHD | 1053393652 |
| DR. GRETCHEN L. MEADER | PHD | 1104938414 |
| CHRISTINA L. ZAMPICH | PSYD | 1043345465 |
| DR. KIMBERLY COLE | PSY. D. | 1326211731 |
| DAVID W. ELKINS JR. | PHD | 1215250741 |
| CIERA CAPRICE BOTZHEIM | PSYD | 1255754594 |
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.