Individual
NICOLE NOVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1400 FLEETWOOD CT, FORT COLLINS, CO 80521-4057
(914) 629-2828
Mailing address
1400 FLEETWOOD CT, FORT COLLINS, CO 80521-4057
(914) 629-2828
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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