Provider Demographics
NPI:1689987232
Name:FLOWER, NICHOLAS RAYMOND (PSYD)
Entity Type:Individual
Prefix:DR
First Name:NICHOLAS
Middle Name:RAYMOND
Last Name:FLOWER
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 WASHINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-2571
Mailing Address - Country:US
Mailing Address - Phone:412-444-8776
Mailing Address - Fax:877-423-2073
Practice Address - Street 1:606 WASHINGTON AVE STE 1100
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-2571
Practice Address - Country:US
Practice Address - Phone:412-423-8660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-23
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS016833103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist