Marti Leeann Nichols, LBHP is a
Psychologist - Addiction (substance Use Disorder) based in Pryor, Oklahoma. Marti Leeann Nichols is licensed to practice in Oklahoma (license number ) and her current practice location is
205 S Adair St, Pryor, Oklahoma. She can be reached at her office (for appointments etc.) via phone at
(918) 825-4872.
NPI number for Marti Leeann Nichols is 1538495692 and her current mailing address is 308 S Whitaker St, Pryor, Oklahoma. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1538495692.
Healthcare Provider's Profile
| Full Name | Marti Leeann Nichols |
|---|
| Gender | Female |
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| Speciality | Psychologist - Addiction (substance Use Disorder) |
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| Location | 205 S Adair St, Pryor, Oklahoma |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1538495692
- Provider Enumeration Date: 10/26/2009
- Last Update Date: 10/22/2012
Medical Identifiers
Medical identifiers for Marti Leeann Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1538495692 | NPI | - | NPPES |
| 200375130A | Medicaid | OK | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Secondary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | (Oklahoma) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Marti Leeann Nichols is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Marti Leeann Nichols, LBHP
308 S Whitaker St,
Pryor, OK 74361-3424
Ph: (918) 864-0353 | Marti Leeann Nichols, LBHP
205 S Adair St,
Pryor, OK 74361-5201
Ph: (918) 825-4872 |
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