Individual
ELIZABETH NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC/SLP
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
196 BRECKINRIDGE SQ, LOUISVILLE, KY 40220-1435
(606) 571-1055
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
165599
KY
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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