Individual
THERESA NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 GRAVIER ST, 9TH FLOOR, NEW ORLEANS, LA 70112-2262
(504) 568-4250
(504) 568-4249
Mailing address
PO BOX 62600, DEPARTMENT 1268, NEW ORLEANS, LA 70162-2600
(504) 568-4250
(504) 568-4249
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
3853
LA
Other
Enumeration date
12/01/2006
Last updated
07/08/2007
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