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Wyatt L. Nichols, Ph.d., Pc

Wyatt L. Nichols, Ph.d., Pc is a health care provider in Cordova, TN. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 8142 Country Village Dr Ste 102, Cordova, TN 38016-2029, US
Practice Location Phone901-388-1893
Practice Location Fax901-388-1995
Legal Business NameWYATT L. NICHOLS, PH.D., PC
NPI ?1356715445
Entity TypeOrganization
Enumeration Date ? Nov 30, 2015
Last Update Date ? Aug 8, 2018
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Wyatt L. Nichols, Ph.d., Pc

SpecialtySpecializationLicenseLicense State
PsychologistForensic P866Tennessee
PsychologistClinical P866Tennessee

official-icon Authorized Official of Wyatt L. Nichols, Ph.d., Pc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Wyatt L. Nichols, Ph.d., Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Wyatt Lee Nichols (PHD)
Authorized Official Title/PositionOWNER
Authorized Official Phone Number901-388-1893