Individual
WHITNEY NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2221 W DETROIT ST, BROKEN ARROW, OK 74012-3628
(918) 615-6492
Mailing address
2608 HIGHWOOD PL, CLAREMORE, OK 74017-4825
(918) 207-5856
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5432
OK
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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