Organization
TRICIA KOSTNER-NICHOLSON, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA KOSTNER-NICHOLSON M.S., CCC-SLP (OWNER)
(847) 370-3710
Entity
Organization
Contact information
Practice address
2826 POTOSI PL, BROOMFIELD, CO 80023-4659
(847) 370-3710
Mailing address
2826 POTOSI PL, BROOMFIELD, CO 80023-4659
(847) 370-3710
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP.0001768
CO
Other
Enumeration date
12/01/2017
Last updated
12/01/2017
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