Nichole M. Mathis M.S., CCC-SLP

NPI 1053368274 - Speech-Language Pathologist - 235Z00000X

NPI Details
NPI 1053368274
Gender Female
Enumeration Date 05/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
940 N JEFFERSON AVE
SPRINGFIELD MO, 65802-3718, US
Phone (417) 523-1000
Fax (417) 523-7595
Business Location
940 N JEFFERSON AVE
SPRINGFIELD MO, 65802-3718, US
Phone (417) 523-1000
Fax (417) 523-7595
Toxanomy
Taxonomy Code 235Z00000X
License State Missouri
License Number 2004007000
Remove 1053368274 NPI Number
 

According to our database, Nichole M. Mathis M.S., CCC-SLP NPI is 1053368274, taxonomy code is 235Z00000X and license number is 2004007000, license state is located at Missouri. Nichole M. Mathis M.S., CCC-SLP physically located at 940 N Jefferson Ave, Springfield MO, 65802-3718. NPI Number Nichole M. Mathis M.S., CCC-SLP has the Individual type.

Sponsored links

1053368274 NPI number is provided on an as is basis without warranty of any kind. 1053368274 is maintained by the National Plan & Provider Enumeration System. The contents of Nichole M. Mathis M.S., CCC-SLP are for informational purposes only.