Individual
NICOLE BROGHAMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CCC-SLP
Contact information
Practice address
4121 PENNSYLVANIA AVE, DUBUQUE, IA 52002-2628
(563) 583-4003
(563) 265-5789
Mailing address
4121 PENNSYLVANIA AVE, DUBUQUE, IA 52002-2628
(563) 583-4003
(563) 265-5789
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
080963
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665950
—
IA
Enumeration date
12/06/2016
Last updated
12/06/2016
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