Individual
NICOLLE L. LARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.-C.C.C.-S.L.P.
Contact information
Practice address
1201 14TH ST SW, SIDNEY, MT 59270-5409
(406) 489-1960
Mailing address
1201 14TH ST SW, SIDNEY, MT 59270-5409
(406) 489-1960
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
1595
ND
235Z00000X
Speech-Language Pathologist
Primary
SP585
MT
Other
Enumeration date
10/09/2007
Last updated
06/26/2023
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