SearchWisconsin103TC1900X

David Nichols, PHD

NPI 1063409852 · on the registry since 2005

Practice

Address
8700 Durand Ave Ste 600
Sturtevant, WI 53177
Phone
(262) 635-5520
Fax
(262) 635-5530
Organisation at this address
Psychiatric Services Of Racine, Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Additional practice sites

  • 1244 Wisconsin Ave Ste 303, Racine, WI

Registry record

Primary taxonomy
103TC1900X
103TC1900X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin