Tracy T Nichols, MA, LPT, LSPE - Psychologist in Huntsville, AL

Tracy T Nichols, MA, LPT, LSPE is a Psychologist - Clinical Child & Adolescent based in Huntsville, Alabama. Tracy T Nichols is licensed to practice in Alabama (license number 1185) and current practice location is 2011 Gallatin St Sw, Huntsville, Alabama. can be reached at office (for appointments etc.) via phone at (938) 902-0494.

NPI number for Tracy T Nichols is 1265253520 and current mailing address is 623 Cumberland St E, Cowan, Tennessee. does not participate in medicare program and thus does not accept medicare assignments. NPI Number is 1265253520.

Contact Information

Tracy T Nichols, MA, LPT, LSPE
2011 Gallatin St Sw,
Huntsville, AL 35801-4510
(938) 902-0494
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameTracy T Nichols
Gender
SpecialityPsychologist - Clinical Child & Adolescent
Location2011 Gallatin St Sw, Huntsville, Alabama
Accepts Medicare AssignmentsDoes not participate in Medicare Program. may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265253520
  • Provider Enumeration Date: 10/21/2024
  • Last Update Date: 10/21/2024

Medical Identifiers

Medical identifiers for Tracy T Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265253520NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent 11784 (Tennessee)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 1185 (Alabama)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. Tracy T 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 AddressPractice Location Address
Tracy T Nichols, MA, LPT, LSPE
623 Cumberland St E,
Cowan, TN 37318-3265

Ph: (256) 505-1735
Tracy T Nichols, MA, LPT, LSPE
2011 Gallatin St Sw,
Huntsville, AL 35801-4510

Ph: (938) 902-0494

Reviews and Comments


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