Dr Mary Trotty Nickson, PHD is a
Psychologist - School based in Allen, Texas. Dr Mary Trotty Nickson is licensed to practice in Texas (license number 30454) and her current practice location is
100 Allentown Pkwy, #114, Allen, Texas. She can be reached at her office (for appointments etc.) via phone at
(972) 747-0059.
NPI number for Dr Mary Trotty Nickson is 1245459189 and her current mailing address is 807 Ridgemont Dr, Allen, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245459189.
Healthcare Provider's Profile
| Full Name | Dr Mary Trotty Nickson |
|---|
| Gender | Female |
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| Speciality | Psychologist - School |
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| Location | 100 Allentown Pkwy, Allen, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245459189
- Provider Enumeration Date: 04/25/2007
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mary Trotty Nickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245459189 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 11170 (Texas) | Primary |
| 103TC1900X | Psychologist - Counseling | 25148 (Texas) | Primary |
| 103TS0200X | Psychologist - School | 30454 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mary Trotty Nickson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mary Trotty Nickson, PHD
807 Ridgemont Dr,
Allen, TX 75002-5075
Ph: (972) 396-1970 | Dr Mary Trotty Nickson, PHD
100 Allentown Pkwy, #114,
Allen, TX 75002-4200
Ph: (972) 747-0059 |
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