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Individual

MRS. NICOLE LYNN KRESS-SCHEIDMANTEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
110 MORDINGTON AVE, CHARLES TOWN, WV 25414-1693
(304) 725-9741
Mailing address
463 ARBOR SHADE DR, INWOOD, WV 25428-4366
(304) 229-6694
(304) 229-4346

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1029
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00-12254000
WV
Enumeration date
10/29/2007
Last updated
10/29/2007
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