Individual
KRISTEN MARIE NICOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
7100 N HIGH ST STE 203, WORTHINGTON, OH 43085-2392
(614) 505-7330
Mailing address
10955 DARBY BLVD W, PLAIN CITY, OH 43064-9643
(614) 357-8826
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
COND.20201286-SP
OH
Other
Enumeration date
08/19/2020
Last updated
02/10/2022
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