Kaitlyn Nichols, M.A.
Psychologist, Clinical in Fresno, CA. Individual provider (NPI-1).
NPI number1154875789
StatusActive
Last updated in NPPESSep 16, 2025
Details
- NPI
- 1154875789
- Entity type
- Individual (NPI-1)
- Name
- Kaitlyn Nichols
- Credential
- M.A.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2016
- Certification date
- Sep 16, 2025
- Last updated
- Sep 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 30721 | CA | Yes |
| 103TC0700X | Psychologist, Clinical | 94022754 | CA |
Practice location
3443 W Shaw AveFresno, CA 93711-3249
Phone 559-271-1186
Mailing address
3443 W Shaw AveFresno, CA 93711-3249
Phone 559-271-1186
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