Nicole Holzemer, M.A.

Individual provider Active NPI Speech-Language Pathologist · Swanton, OH

NPI 1801201637 · NPPES record last updated Jul 1, 2014

Key facts

NPI
1801201637
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SP. 11162 (OH)
Practice address
401 W Airport Hwy
Swanton, OH 43558-1445
Phone
(419) 825-1111
Fax
(419) 825-2386
NPI assigned
Jul 1, 2014
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SP. 11162OHMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP. 11162 OH Yes

Addresses

Primary practice location

401 W Airport Hwy
Swanton, OH 43558-1445

Mailing address

401 W Airport Hwy
Swanton, OH 43558-1445
Phone (419) 825-1111

Other providers in Swanton, OH

All providers in Swanton, OH · Speech-Language Pathologist in Ohio

Sources for this page

Verify at the official NPI Registry.