| Curt Nicholson, Ph.d., Inc. | |
|
57 E Main St Lititz PA 17543-1941 | |
| (717) 627-2857 | |
| (717) 627-4455 |
| Full Name | Curt Nicholson, Ph.d., Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 57 E Main St, Lititz, Pennsylvania |
| Authorized Official Name and Position | Curt Nicholson (PRESIDENT) |
| Authorized Official Contact | 7176642611 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Curt Nicholson, Ph.d., Inc. 57 E Main St Lititz PA 17543-1941 Ph: (717) 627-2857 | Curt Nicholson, Ph.d., Inc. 57 E Main St Lititz PA 17543-1941 Ph: (717) 627-2857 |
| NPI Number | 1982739256 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8921071622 |
|---|---|
| Medicare Enrollment ID | O20040819000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982739256 | NPI | - | NPPES |
| 02521300 | Other | PA | CAPITAL BLUE CROSS GROUP |
| 090541 | Other | PA | HIGHMARK BL SHIELD GROUP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS-004493-L (Pennsylvania) | Primary |
| Provider Name | Harvey C Nicholson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639166929 PECOS PAC ID: 2567621980 Enrollment ID: I20120305000308 |
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