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Contact Information

MICHELINE NICHOLS, SLP
1800 PENN ST., STE 12
MELBOURNE, FL32901
 Phone: 321-768-6800
 Fax: 321-768-6858
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
Indicates primary specialty

NPI Profile & details for MICHELINE NICHOLS · (Female)

NPI # 1124112651
Status Active
Credentials SLP (Speech-Language Pathologists)
Entity Individual
Enumeration date 10/02/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # SA2154
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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