Individual
LEIGH ANN NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS SLP MA SLP LIC
Contact information
Practice address
1115 W CHESTNUT ST, BROCKTON, MA 02301
(508) 559-0473
(508) 427-5361
Mailing address
128 MADISON AVE, APT 1, QUINCY, MA 02169
(617) 784-0929
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
6712
MA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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