Individual
HANNELE NICHOLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1 VETERANS DR, MAIL CODE 127A, MINNEAPOLIS, MN 55417-2309
(612) 629-7462
Mailing address
1 VETERANS DR, MAIL CODE 127A, MINNEAPOLIS, MN 55417-2309
(612) 629-7462
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
9611
MN
Other
Enumeration date
12/16/2016
Last updated
12/16/2016
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