Individual
MRS. CYNTHIA NELL NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
890 W 4TH ST, SUITE 100, ONTARIO, OH 44906-2565
(419) 774-5520
Mailing address
1674 PIN OAK TRL, MANSFIELD, OH 44906-3652
(419) 774-0414
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2994
OH
Other
Enumeration date
03/05/2014
Last updated
03/05/2014
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