Individual
ANNEMARIE NICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
206 W 46TH ST, ANDERSON, IN 46013-4504
(765) 631-6202
Mailing address
206 W 46TH ST, ANDERSON, IN 46013-4504
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005312A
IN
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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