Individual
WHITNEY NICOLE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4900 SHAMROCK DR STE 100-102, EVANSVILLE, IN 47715-7325
(812) 479-7337
(812) 550-1990
Mailing address
4900 SHAMROCK DR STE 100-102, EVANSVILLE, IN 47715-7325
(812) 479-7337
(812) 550-1990
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007222A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22007222A
INDIANA STATE LICENSE
IN
Enumeration date
06/26/2019
Last updated
08/08/2024
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