Individual
MRS. THERESA LYNNE NIBLOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. SLP
Contact information
Practice address
315 S ASH ST, STOCKTON, KS 67669-2136
(785) 425-6109
Mailing address
5 SUNSET ST, STOCKTON, KS 67669-1432
(785) 425-6214
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
KS
Other
Enumeration date
05/21/2007
Last updated
07/26/2007
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