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Individual

DR. DEANNA MICHELLE NICKERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(561) 702-5039
Mailing address
9779 DANIELS RD, SEVILLE, OH 44273-9526
(561) 702-5039

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
12194
NC
231H00000X
Audiologist
Primary
A.02339
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A.02339
AUDIOLOGY
OH
Enumeration date
08/07/2014
Last updated
03/19/2026
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