Organization · Type 2 NPI
Shelly Nicol, Psyd LLC
Clinical Psychologist · Portland, OR
Practice location
4631 SE 62nd Ave
Portland, OR 97206-4603
Mailing address
5441 S Macadam Ave Ste A
Portland, OR 97239-3822
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | None listed |
Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…
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About NPI 1083527360
Shelly Nicol, Psyd LLC's National Provider Identifier is 1083527360, issued on Sep 25, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Portland, OR. The record was last updated on Sep 25, 2026.