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Individual

NICOLE METZENDORF

Active
Sole proprietor
No

Provider details

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

Contact information

Practice address
516 W BIJOU ST, COLORADO SPRINGS, CO 80905-1311
(719) 633-9114
Mailing address
516 W BIJOU ST, COLORADO SPRINGS, CO 80905-1311
(719) 633-9114

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7101006481
MI
235Z00000X
Speech-Language Pathologist
76543
MA
235Z00000X
Speech-Language Pathologist
Primary
SLP.0004031
CO

Other

Enumeration date
11/07/2017
Last updated
07/22/2020
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