Individual provider · Type 1 NPI
Mario George Nicolas, PhD
Psychologist · Jbsa Lackland, TX
Practice location
1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc
Jbsa Lackland, TX 78236
Mailing address
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Other practice locations
- 1100 Wilford Hall Loop, Bldg 4554, Attn: 59 Mdw/sghc, Jbsa Lackland, TX 78236 · (210) 292-6225
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 37499 (TX) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1043380116
Mario George Nicolas, PhD's National Provider Identifier is 1043380116, issued on Nov 8, 2006. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Jbsa Lackland, TX. The record was last updated on Aug 25, 2023.