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NPI 1902054091

IndividualActive

Andrew Nichols, PH.D.

NPI 1902054091 · Psychologist · Park City, UT

Provider details

NPI number: 1902054091
Entity type: Individual
Primary specialty: PsychologistBehavioral Health & Social Service Providers
Credential: PH.D.
Sex: Male
Sole proprietor: Yes
License: 8651960-2501 (UT)

Practice location

1389 Center Dr

Ste 200

Park City, UT 84098-7659

Phone: (435) 565-1816

More UT providers

Mailing address

1389 Center Dr

Park City, UT 84098-7659

Registry dates

Enumerated: 2008-09-03
Last updated: 2014-11-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Andrew Nichols, PH.D. — NPI 1902054091, Park City, UT | NPI Central