National Provider Identifier
Katharine Macy Nicholson, LMFT
Katharine Macy Nicholson, LMFT is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1578845822
- Provider Type
- Individual
- Primary Specialty
- Marriage & Family Therapist
- Enumeration Date
- September 13, 2011
- Last Updated
- January 29, 2015
Practice Location
- 127 W State St
- Ithaca, NY 14850-5474
Phone: (607) 273-7494
Mailing Address
- 702 Valley RD
- Brooktondale, NY 14817-9704
Specialties
- Marriage & Family Therapist (106H00000X)
Full Record
- NPI
- 1578845822
- Entity Type
- Individual
- Last Name
- Nicholson
- First Name
- Katharine
- Middle Name
- Macy
- Credential
- LMFT
- Mailing Street Address
- 702 Valley RD
- Mailing City
- Brooktondale
- Mailing State
- NY
- Mailing ZIP Code
- 14817-9704
- Mailing Country
- US
- Mailing Phone
- (607) 351-7520
- Practice Street Address
- 127 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Practice Fax
- (607) 273-7484
- Enumeration Date
- September 13, 2011
- Last Updated
- January 29, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Marriage & Family Therapist (106H00000X)
- Other Identifiers
- 1336163963 (NY)