Individual
KATHERINE MCNICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
429 VINE ST APT 3, PHILADELPHIA, PA 19106-1153
(215) 847-3280
Mailing address
429 VINE ST APT 3, PHILADELPHIA, PA 19106-1153
(215) 847-3280
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SL013323
PA
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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