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Contact Information

NICHOLAS T DE LOS REYES, PhD
2051 EVERGREEN LN STE C
SHOW LOW, AZ85901-7928
 Phone: 562-547-0910
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Marriage & Family Therapist

106H00000X
Indicates primary specialty

NPI Profile & details for NICHOLAS T DE LOS REYES · (Male)

NPI # 1003028721
Status Active
Credentials PhD
Entity Individual
Enumeration date 05/04/2007
Last updated 10/26/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 005077
  • CA License # MFT13850
  • CA License # PSY9246
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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