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Individual

NICOLE ALTHERR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.A., CCC-SLP

Contact information

Practice address
5601 COVENTRY LANE, FORT WAYNE, IN 46804-5435
(260) 459-6040
Mailing address
10236 UNITA DR, FORT WAYNE, IN 46804-6900
(260) 437-5252

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46003034A
IN

Other

Enumeration date
08/22/2016
Last updated
02/06/2020
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