Individual
ANDREW JOSEPH NIERMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCC-SLP
Contact information
Practice address
547 W BRYAN ST, SALEM, IL 62881-4215
(618) 267-9319
Mailing address
547 W BRYAN ST, SALEM, IL 62881-4215
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
146.013872
IL
Other
Enumeration date
09/06/2017
Last updated
09/06/2017
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