Individual
REBECCA NIELSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
2115 1ST AVE SE, CEDAR RAPIDS, IA 52402-6353
(319) 363-2420
Mailing address
280 PHEASANT AVE, MARION, IA 52302-5667
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
085650
IA
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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