Individual
NICHELLE OBBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
921 SHILOH RD STE C120, TYLER, TX 75703-1407
(903) 939-2800
Mailing address
716 GALLANT CT, WYLIE, TX 75098-6990
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
40511
TX
Other
Enumeration date
01/03/2018
Last updated
01/03/2018
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