Shelley Blancett Nichols, PHD is a
Psychologist - Clinical based in Midland, Texas. Shelley Blancett Nichols is licensed to practice in Texas (license number 36329) and her current practice location is
1030 Andrews Hwy, Ste 105-h, Midland, Texas. She can be reached at her office (for appointments etc.) via phone at
(432) 247-1221.
NPI number for Shelley Blancett Nichols is 1063835346 and her current mailing address is 1030 Andrews Hwy, Ste 105-h, Midland, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063835346.
Healthcare Provider's Profile
Full Name | Shelley Blancett Nichols |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 1030 Andrews Hwy, Midland, Texas |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063835346
- Provider Enumeration Date: 01/22/2014
- Last Update Date: 07/06/2020
Medical Identifiers
Medical identifiers for Shelley Blancett Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063835346 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 19072 (Texas) | Secondary |
103TC0700X | Psychologist - Clinical | 36329 (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. Shelley Blancett Nichols 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 |
Shelley Blancett Nichols, PHD 1030 Andrews Hwy, Ste 105-h, Midland, TX 79701-3895 Ph: (432) 620-5800 | Shelley Blancett Nichols, PHD 1030 Andrews Hwy, Ste 105-h, Midland, TX 79701 Ph: (432) 247-1221 |
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