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Contact Information

TRACY T NICHOLS, MA, LPT, LSPE
2011 GALLATIN ST SW
HUNTSVILLE, AL35801-4510
 Phone: 938-902-0494
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for TRACY T NICHOLS · (Female)

NPI Number 1265253520
Status Active
Credentials MA, LPT, LSPE
Entity Individual
Enumeration date 10/21/2024
Last updated 10/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • AL License # 1185
  • TN License # 11784
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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