Individual
NICOLE ELIZABETH VICKERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 842-3770
(812) 842-3771
Mailing address
4011 GATEWAY BLVD, NEWBURGH, IN 47630-8947
(812) 842-3770
(812) 842-3771
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
22007391A
IN
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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