Individual
MRS. KATIE L NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
7733 FORSYTH BLVD, CLAYTON, MO 63105-1817
(800) 677-1238
Mailing address
3414 W VINCENT DR, SPRINGFIELD, MO 65810-1036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2012020316
MO
Other
Enumeration date
07/12/2013
Last updated
07/12/2013
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