Individual
MRS. NICOLE MARIE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1540 N 72ND ST, OMAHA, NE 68114-1924
(402) 398-3958
Mailing address
1540 N 72ND ST, OMAHA, NE 68114-1924
(402) 398-3958
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1348
NE
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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