Individual
ERIC NICSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. CCC-SLP
Contact information
Practice address
629 TRACTION AVE APT 112, LOS ANGELES, CA 90013-1680
(818) 723-9316
Mailing address
629 TRACTION AVE APT 112, LOS ANGELES, CA 90013-1680
(818) 723-9316
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
13306
CA
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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