Individual
MRS. MICHELLE M. NISHIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
609 BRAXTON DR N, LAFAYETTE, IN 47909-6280
(765) 543-4880
(888) 489-2630
Mailing address
609 BRAXTON DR N, LAFAYETTE, IN 47909-6280
(765) 543-4880
(888) 489-2630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22004626A
IN
Other
Enumeration date
07/21/2008
Last updated
07/21/2008
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