Individual
MRS. CHERYL A NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.T., CCC-SLP
Contact information
Practice address
10314 RIVER RAPIDS RUN, FORT WAYNE, IN 46845-8949
(260) 760-3724
Mailing address
10314 RIVER RAPIDS RUN, FORT WAYNE, IN 46845-8949
(260) 760-3724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22001998A
IN
Other
Enumeration date
03/10/2008
Last updated
03/10/2008
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