Individual
NICOLE LYNN CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, CCC-SLP
Contact information
Practice address
9594 LEE PL, CROWN POINT, IN 46307-7458
(219) 384-6295
(219) 365-5857
Mailing address
9594 LEE PL, CROWN POINT, IN 46307-7458
(219) 384-6295
(219) 365-5857
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005059A
IN
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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