Individual
MS. NATALIE A NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SPEECH LANGUAGE PATH
Contact information
Practice address
7112 ZIONSVILLE RD, INDIANAPOLIS, IN 46268-2163
(317) 329-1000
(317) 329-1001
Mailing address
3802 KNICKERBOCKER PL, INDIANAPOLIS, IN 46240-7612
(260) 414-8036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
46001650A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000365571
ANTHEM
IN
05
—
200830690
—
IN
Enumeration date
01/10/2007
Last updated
07/09/2007
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