Individual
ELIZABETH NICHOLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
915 ROSEDALE RD NE, LOWER UNIT, ATLANTA, GA 30306-4827
(678) 488-0589
Mailing address
915 ROSEDALE RD NE, LOWER UNIT, ATLANTA, GA 30306-4827
(678) 488-0589
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP007910
GA
Other
Enumeration date
10/11/2016
Last updated
10/11/2016
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