| Karen D. Nichols, Ph.d., P.s. | |
|
11808 Northup Way W 150 Bellevue WA 98005-1936 | |
| (425) 889-1240 | |
| (425) 889-1249 |
| Full Name | Karen D. Nichols, Ph.d., P.s. |
|---|---|
| Speciality | Psychologist |
| Location | 11808 Northup Way, Bellevue, Washington |
| Authorized Official Name and Position | Karen D. Nichols (PRESIDENT) |
| Authorized Official Contact | 4258891240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Karen D. Nichols, Ph.d., P.s. 11808 Northup Way W 150 Bellevue WA 98005-1936 Ph: (425) 889-1240 | Karen D. Nichols, Ph.d., P.s. 11808 Northup Way W 150 Bellevue WA 98005-1936 Ph: (425) 889-1240 |
| NPI Number | 1780862649 |
|---|---|
| Provider Enumeration Date | 02/03/2008 |
| Last Update Date | 02/03/2008 |
| Medicare PECOS PAC ID | 6204866387 |
|---|---|
| Medicare Enrollment ID | O20050818000158 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780862649 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1250 (Washington) | Primary |
| Provider Name | Karen D Nichols |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912089632 PECOS PAC ID: 0143251199 Enrollment ID: I20050830000103 |
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