NPI 1114045671

Lisa L Nicholson, LICSW

Practitioner Psychologist Brattleboro, VT

Practice location

Address: 29 Elm St, Brattleboro, VT 05301-6511
Phone: (802) 254-7511
Fax: (802) 254-7506
Mailing address: 1 Hospital CT STE 410, Bellows Falls, VT 05101-1489

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 089-0000699 (VT)

Other Psychologist providers in Vermont →

Registry record

NPI: 1114045671
Entity type: Individual
Sex (as registered): Female
NPI issued: 26 Mar 2007
Record last updated: 8 Jul 2007

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.