Nicholson, Kelly L
Nicholson, Kelly L is an sole proprietor health care provider with primary practice located at 1605 Moonstone Ln , Castle Rock CO 80108-7809. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Nicholson, Kelly L can be contacted via phone (720) 588-6772.Contact Information
Primary practice address
1605 Moonstone Ln
Castle Rock CO 80108-7809
Phone: (720) 588-6772
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 3154 | Colorado |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1340 | South Carolina |
Profile Details
| NPI number | 1043424807 |
|---|---|
| LBN Legal business name | Nicholson, Kelly L |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Aug 21st, 2015 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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