Individual
NICOLE ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
21 S PARK BLVD, SUITE 21, GREENWOOD, IN 46143-8838
(317) 449-2104
(765) 450-6664
Mailing address
700 E. FIRMIN STREET, SUITE 209, KOKOMO, IN 46902-2375
(765) 454-9748
(765) 450-6664
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22005496A
IN
Other
Enumeration date
02/25/2012
Last updated
12/02/2014
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