| Christine M. Nicholson, Inc. | |
|
530b N 5th Ave Sequim WA 98382-3079 | |
| (360) 683-4845 | |
| (425) 285-9344 |
| Full Name | Christine M. Nicholson, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 530b N 5th Ave, Sequim, Washington |
| Authorized Official Name and Position | Christine Marie Nicholson (PRESIDENT) |
| Authorized Official Contact | 3606834845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christine M. Nicholson, Inc. 11205 Ne 117th St Kirkland WA 98034-7031 Ph: (360) 683-4845 | Christine M. Nicholson, Inc. 530b N 5th Ave Sequim WA 98382-3079 Ph: (360) 683-4845 |
| NPI Number | 1407035926 |
|---|---|
| Provider Enumeration Date | 11/01/2007 |
| Last Update Date | 12/08/2008 |
| Medicare PECOS PAC ID | 8628158037 |
|---|---|
| Medicare Enrollment ID | O20080110000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407035926 | NPI | - | NPPES |
| 000N6325 | Medicaid | NM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY00003423 (Washington) | Primary |
| Provider Name | Christine M Nicholson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972613115 PECOS PAC ID: 2769562461 Enrollment ID: I20080108000292 |
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