| Patrick Nicholas, Psy.d., LLC | |
|
1035 Vermont St Ste C Lawrence KS 66044-3072 | |
| (785) 764-2121 | |
| Not Available |
| Full Name | Patrick Nicholas, Psy.d., LLC |
|---|---|
| Speciality | Psychologist |
| Location | 1035 Vermont St Ste C, Lawrence, Kansas |
| Authorized Official Name and Position | Patrick James Nicholas (PSYCHOLOGIST) |
| Authorized Official Contact | 7857642121 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Patrick Nicholas, Psy.d., LLC 1035 Vermont St Ste C Lawrence KS 66044-3072 Ph: (785) 764-2121 | Patrick Nicholas, Psy.d., LLC 1035 Vermont St Ste C Lawrence KS 66044-3072 Ph: (785) 764-2121 |
| NPI Number | 1881995744 |
|---|---|
| Provider Enumeration Date | 11/09/2010 |
| Last Update Date | 11/09/2010 |
| Medicare PECOS PAC ID | 4789870171 |
|---|---|
| Medicare Enrollment ID | O20101124000697 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881995744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 1910 (Kansas) | Primary |
| Provider Name | Patrick James Nicholas |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205064953 PECOS PAC ID: 6406042803 Enrollment ID: I20101124000727 |
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