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1114431905
TRAVIS NICHOLS
PHOENIX, AZ
NPI
1114431905
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS018367)
Enumeration Date
2017-12-01
Last Update Date
2017-12-01
Business Address
Dr. TRAVIS NICHOLS Ph.D.
9250 W THOMAS RD
PHOENIX, AZ 85037-3382
Phone number: 623-772-4051
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Mailing Address
Dr. TRAVIS NICHOLS Ph.D.
12527 W MODESTO DR
LITCHFIELD PARK, AZ 85340-5555
Phone number: 610-283-9750
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