| Wyatt L. Nichols, Ph.d., Pc | |
|
8142 Country Village Dr Ste 102 Cordova TN 38016-2029 | |
| (901) 388-1893 | |
| (901) 388-1995 |
| Full Name | Wyatt L. Nichols, Ph.d., Pc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8142 Country Village Dr Ste 102, Cordova, Tennessee |
| Authorized Official Name and Position | Wyatt Lee Nichols (OWNER) |
| Authorized Official Contact | 9013881893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyatt L. Nichols, Ph.d., Pc 8142 Country Village Dr Ste 102 Cordova TN 38016-2029 Ph: (901) 388-1893 | Wyatt L. Nichols, Ph.d., Pc 8142 Country Village Dr Ste 102 Cordova TN 38016-2029 Ph: (901) 388-1893 |
| NPI Number | 1356715445 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 08/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356715445 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | P866 (Tennessee) | Primary |
| 103TF0200X | Psychologist - Forensic | P866 (Tennessee) | Secondary |
Julie Demarco,bcba Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8284 Clinton Way Ln, Cordova, TN 38018 Phone: 901-283-6455 Fax: 901-757-1146 | |
Kristy Love Counseling Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 390 Spruce Glen Dr, Cordova, TN 38018 Phone: 901-604-0307 | |
Pathways To Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 65 Germantown Ct, Suite 207, Cordova, TN 38018 Phone: 901-878-3332 Fax: 901-350-7790 | |
Memphis Neurofeedback Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 758 Walnut Knoll Ln, Suite 101, Cordova, TN 38018 Phone: 901-624-0100 Fax: 901-624-0778 | |
Mind And Body Wellness Clinic Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1176 Vickery Ln Ste 100, Cordova, TN 38016 Phone: 901-737-1992 | |
Reyle Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1148 Vickery Ln # 6, Cordova, TN 38016 Phone: 901-236-9385 Fax: 901-552-3204 | |
Behavior Intervention & Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1951 Chartridge Dr, Cordova, TN 38016 Phone: 901-606-6352 |