Individual
NIKKI LOU NEALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2027 BERRY ST NE, OLYMPIA, WA 98506-3276
(509) 939-2213
(360) 943-3494
Mailing address
2027 BERRY ST NE, OLYMPIA, WA 98506-3276
(509) 939-2213
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
LL00002819
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1818CO
ASURIS NW HEALTH
WA
Enumeration date
11/14/2006
Last updated
10/10/2024
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