Individual provider · Type 1 NPI

Sean Michael Nickley, PhD

Clinical Psychologist · Philadelphia, PA

NPI number 1730019282 Active

Practice location

3900 Woodland Ave
Philadelphia, PA 19104-4551

Mailing address

1251 N 29th St
Philadelphia, PA 19121-4537

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XPS020735 (PA)

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 1730019282

Sean Michael Nickley, PhD's National Provider Identifier is 1730019282, issued on May 19, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Philadelphia, PA. The record was last updated on May 19, 2026.