SearchMichigan235Z00000X

Nicole Nicolas, MS, CCC-SLP

NPI 1811556343 · on the registry since 2019 · sole proprietor

Practice

Address
2019 Wealthy St Se Apt 2
Grand Rapids, MI 49506
Phone
(616) 828-2865

Registry record

Primary taxonomy
235Z00000X
235Z00000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-03-24

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan