Dr Maureen Tara Nickerson, PSYD in Medical Lake, WA

Dr Maureen Tara Nickerson, PSYD is a Psychologist - Clinical based in Medical Lake, Washington. Dr Maureen Tara Nickerson is licensed to practice in Washington (license number PY60778414) and her current practice location is 850 W. Maple St., Medical Lake, Washington. She can be reached at her office (for appointments etc.) via phone at (509) 565-4000.

NPI number for Dr Maureen Tara Nickerson is 1578130274 and her current mailing address is P.o. Box 800, 850 W. Maple St., Medical Lake, Washington. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578130274.

Contact Information

	Dr Maureen Tara Nickerson, PSYD
	850 W. Maple St., Medical Lake, WA 99022
	(509) 565-4000
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Maureen Tara Nickerson
Gender	Female
Speciality	Psychologist - Clinical
Location	850 W. Maple St., Medical Lake, Washington
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1578130274
Provider Enumeration Date: 06/10/2021
Last Update Date: 06/10/2021

Medical Identifiers

Medical identifiers for Dr Maureen Tara Nickerson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578130274	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY60778414 (Washington)	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. Dr Maureen Tara Nickerson 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
Dr Maureen Tara Nickerson, PSYD P.o. Box 800, 850 W. Maple St., Medical Lake, WA 99022 Ph: () -	Dr Maureen Tara Nickerson, PSYD 850 W. Maple St., Medical Lake, WA 99022 Ph: (509) 565-4000

Reviews and Comments

Psychologist in Medical Lake, WA

Dr. Darlene E. Walsh-martin, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705
Christina L. Zampich, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-7015
Dr. Patricia L. Gunderson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 Maple Street, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-7015
Lisa Mathews, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 850 W. Maple St., Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705
Dr. Gretchen L. Meader, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 850 Maple St., Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705
Dr. Alton J Couturier, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 800 West Maple Street, Medical Lake, WA 99022 Phone: 509-299-3121 Fax: 509-299-7015
David W. Elkins Jr., PHD Psychologist Medicare: Medicare Enrolled Practice Location: 850 Maple Street, Eastern State Hospital, Medical Lake, WA 99022 Phone: 509-565-4000 Fax: 509-565-4705

Dr Maureen Tara Nickerson, PSYD - Psychologist in Medical Lake, WA