Whalio Doctors

NPI 1003028721

Nicholas Thomas de Los Reyes, PHD

Practitioner Clinical Psychologist Show Low, AZ

Practice location

Address
2051 Evergreen Ln STE C, Show Low, AZ 85901-7928
Phone
(562) 547-0910
Mailing address
PO Box 268, Show Low, AZ 85902-0268

Registered specialties (3)

Clinical Psychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 005077 (AZ)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence PSY9246 (CA)
Marriage & Family Therapist
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence MFT13850 (CA)

Registry record

NPI
1003028721
Entity type
Individual
Sex (as registered)
Male
NPI issued
4 May 2007
Record last updated
26 Oct 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.