Organization · Type 2 NPI

Mary Lee Nichols PHD LLC

Psychologist · Portland, OR

NPI number 1861974776 Active

Practice location

1133 NW 21st Ave
Portland, OR 97209-1513

Call (503) 277-3868 Map

Fax (503) 650-1892

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X949 (OR)

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 1861974776

Mary Lee Nichols PHD LLC's National Provider Identifier is 1861974776, issued on Sep 6, 2018. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Portland, OR. The record was last updated on Sep 6, 2018.