| Dr Bornell Nicholson, PHD | |
|
5901 N Lidgerwood St Ste 223, Spokane, WA 99208-1122 | |
| (509) 444-8200 | |
| (509) 434-0392 |
| Full Name | Dr Bornell Nicholson |
|---|---|
| Gender | Male |
| Speciality | Marriage And Family Therapist |
| Experience | 6 Years |
| Location | 5901 N Lidgerwood St Ste 223, Spokane, Washington |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295186294 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | LF61468637 (Washington) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Health Association Of Spokane | 9638063217 | 222 |
| Entity Name | Community Health Association of Spokane |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326005851 PECOS PAC ID: 9638063217 Enrollment ID: O20040212000971 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Bornell Nicholson, PHD 611 N Iron Bridge Way, Spokane, WA 99202-4932 Ph: (509) 444-8888 | Dr Bornell Nicholson, PHD 5901 N Lidgerwood St Ste 223, Spokane, WA 99208-1122 Ph: (509) 444-8200 |
Jennifer Servin-zuniga, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 522 W Riverside Ave Ste 5018, Spokane, WA 99201 Phone: 509-850-0269 |
Stephen H Somerville, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 25 S Ferrall St, Spokane, WA 99202 Phone: 509-903-8232 |
Taylor Svetlichny, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3708 W Wellesley Ave, Spokane, WA 99205 Phone: 808-722-1205 |
Aislinn Noone, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 222 W Mission Ave Ste 122, Spokane, WA 99201 Phone: 509-842-0067 |
Chelsea Hansen, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3101 E Boone Ave, Spokane, WA 99202 Phone: 509-953-0993 |
Pember Claire Vandiver, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 400 S Jefferson St Ste 304, Spokane, WA 99204 Phone: 509-903-5631 |
Ms. Jeana N Paul, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 107 S Division St, Spokane, WA 99202 Phone: 509-838-4651 Fax: 509-363-2762 |