Individual
NICOLE C HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
6613 WAGON RIDGE DR, COLORADO SPRINGS, CO 80923-5180
(952) 270-6973
Mailing address
6613 WAGON RIDGE DR, COLORADO SPRINGS, CO 80923-5180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13160
NC
Other
Enumeration date
09/25/2018
Last updated
08/20/2019
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