Individual
JASON NICKELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
3220 SW ALBRIGHT DR, TOPEKA, KS 66614-4707
(615) 896-6400
Mailing address
730 SE CROCO RD, TOPEKA, KS 66607-2610
(615) 896-6400
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2027
KS
Other
Enumeration date
06/01/2007
Last updated
07/08/2007
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