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.
|Practice Location||8142 Country Village Dr Ste 102, Cordova, TN 38016-2029, US|
|Practice Location Phone||901-388-1893|
|Practice Location Fax||901-388-1995|
|Legal Business Name||WYATT L. NICHOLS, PH.D., PC|
|Enumeration Date ?||Nov 30, 2015|
|Last Update Date ?||Aug 8, 2018|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
|Specialty||Provider Type||Specialization||License||License State|
|Psychologist||Behavioral Health & Social Service Providers||Forensic||P866||Tennessee|
|Psychologist||Behavioral Health & Social Service Providers||Clinical||P866||Tennessee|
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/Position||OWNER|
|Authorized Official Phone Number||901-388-1893|