Nicole Edwin, MS CCC-SLP, CLC
NPI #1568904050 in New Athens, Illinois
Provider Information
- NPI Number
- 1568904050
- Entity Type
- Individual
- Name
- Nicole Edwin, MS CCC-SLP, CLC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Speech-Language Pathologist
- Credential
- MS CCC-SLP, CLC
- Enumeration Date
- Nov 15, 2016
- Last Updated
- Mar 16, 2021
Practice Location
- Address
- 5001 GILS LN
- City
- New Athens
- State
- Illinois
- ZIP Code
- 62264-2322
- Phone
- (920) 342-2558
Specialties & Taxonomy Codes
| Specialty |
|---|
| Speech-Language Pathologist |
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