Individual
KRISTI NICOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
61 GREENWAY, VERNON, VT 05354-9474
(802) 254-6041
(802) 257-5362
Mailing address
61 GREENWAY, VERNON, VT 05354-9474
(802) 254-6041
(802) 257-5362
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
00
VT
235Z00000X
Speech-Language Pathologist
111281
MA
235Z00000X
Speech-Language Pathologist
1487
NH
Other
Enumeration date
10/23/2013
Last updated
10/23/2013
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