Provider Demographics
NPI:1366762809
Name:NICHOLSON, DANA (PSYD)
Entity type:Individual
Prefix:DR
First Name:DANA
Middle Name:
Last Name:NICHOLSON
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:370 NATURE TRAIL LN
Mailing Address - Street 2:
Mailing Address - City:MURRYSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15668-1247
Mailing Address - Country:US
Mailing Address - Phone:412-389-8351
Mailing Address - Fax:
Practice Address - Street 1:3907 OLD WILLIAM PENN HWY
Practice Address - Street 2:
Practice Address - City:MURRYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15668-1833
Practice Address - Country:US
Practice Address - Phone:412-295-4345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-07
Last Update Date:2017-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling