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Contact Information

PAMELA NICHOLSON
490 CHADBOURNE RD
SUITE A
FAIRFIELD, CA94534-9613
 Phone: 707-422-0464
 Fax: 707-422-0465
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Therapist

222Q00000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for PAMELA NICHOLSON · (Female)

NPI Number 1639376940
Status Active
Credentials
Entity Individual
Enumeration date 06/29/2007
Last updated 11/08/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers Not Available
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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