| Shana M. Nicholas, Psy.d. Pc | |
|
636 Church St Ste 515 Evanston IL 60201-4581 | |
| (847) 732-1704 | |
| Not Available |
| Full Name | Shana M. Nicholas, Psy.d. Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 636 Church St Ste 515, Evanston, Illinois |
| Authorized Official Name and Position | Shana M. Nicholas (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8477321704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shana M. Nicholas, Psy.d. Pc 636 Church St Ste 515 Evanston IL 60201-4581 Ph: (847) 732-1704 | Shana M. Nicholas, Psy.d. Pc 636 Church St Ste 515 Evanston IL 60201-4581 Ph: (847) 732-1704 |
| NPI Number | 1508051541 |
|---|---|
| Provider Enumeration Date | 09/12/2007 |
| Last Update Date | 09/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508051541 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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