Individual provider · Type 1 NPI

Carol Williams Nickelson, PSYD

Clinical Psychologist · Ashburn, VA

NPI number 1922637982 Active

Practice location

20925 Professional Plz Ste 230
Ashburn, VA 20147-3403

Call (703) 621-7121 Map

Mailing address

21385 Glebe View Dr
Broadlands, VA 20148-3629

Other practice locations

  • 21385 Glebe View Dr, Broadlands, VA 20148-3629 · (703) 723-0119

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Clinical Psychologist Primary 103TC0700X0810007253 (VA)

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 1922637982

Carol Williams Nickelson, PSYD's National Provider Identifier is 1922637982, issued on Apr 2, 2020. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Ashburn, VA. The record was last updated on Oct 4, 2020.