Provider Demographics
NPI:1720043425
Name:NICHOLS, BARBARA JANE (PHD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:JANE
Last Name:NICHOLS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 W SWEETWATER DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-9064
Mailing Address - Country:US
Mailing Address - Phone:520-743-9789
Mailing Address - Fax:520-743-1577
Practice Address - Street 1:5010 W SWEETWATER DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-9064
Practice Address - Country:US
Practice Address - Phone:520-743-9789
Practice Address - Fax:520-743-1577
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3378103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical