DR. MARY TROTTY NICKSON PH.D. NPI 1245459189

NPI Information

NPI: 1245459189
Provider Name: DR. MARY TROTTY NICKSON, PH.D.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
100 ALLENTOWN PKWY
#114
ALLEN, TX
ZIP 75002
Phone: (972) 747-0059
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DR. Mary Trotty Nickson, PH.D. is a professional counselor in Allen, TX. DR. Mary Trotty Nickson, PH.D. NPI is 1245459189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 ALLENTOWN PKWY
#114
ALLEN, TX
ZIP 75002-200
Phone: (972) 747-0059

The enumeration date for this NPI number is 4/25/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional	11170	TEXAS	Yes
2	103TC1900X	Psychologist	Counseling	25148	TEXAS	X
3	103TS0200X	Psychologist	School	30454	TEXAS	X

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	00U31F	MEDICARE ID-TYPE UNSPECIFIED	TEXAS	PSYCHOLOGICAL SERVICES

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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