Individual
ROBIN VAN NORTWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(662) 932-9225
Mailing address
4250 BETHEL RD, OLIVE BRANCH, MS 38654-8737
(662) 932-9225
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
S0776
MS
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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