Most Relevant Information
Provider Data
| NPI Number: | 1003028721 |
| Provider Name: | NICHOLAS THOMAS DE LOS REYES PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PSY9246 |
Most Important Dates
| Enumeration Date: | 05/04/2007 |
| Last Updated: | 10/26/2021 |
Provider Practice Location
2051 EVERGREEN LN STE C
SHOW LOW
AZ
859017928
Practice Location Phone/Fax
| Phone: | 5625470910 |
| Fax: |
Provider Mailing Location
PO BOX 268
SHOW LOW
AZ
859020268
Provider Mailing Phone/Fax
| Phone: | 5625470910 |
| Fax: |