Individual
TRICIA LYNN KOSTNER-NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
2826 POTOSI PL, BROOMFIELD, CO 80023-4659
(847) 370-3710
Mailing address
2826 POTOSI PL, BROOMFIELD, CO 80023-4659
(847) 370-3710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
242.000388
IL
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001768
CO
Other
Enumeration date
08/29/2007
Last updated
03/17/2018
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