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NPI Code Detail

MEDICARE: MRS. NICOLE S. BICHLER M.S., CCC-SLP

MEDICARE:  MRS. NICOLE S. BICHLER  M.S., CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist739ND

General Provider Information

NPI Number : 1710048434
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE S. BICHLER M.S., CCC-SLP
Provider Business Mailing Address
First Line : 4115 OVERLAND RD
Second Line :
City : BISMARCK
State : ND
Zip : 58503-8863
Country : US
Telephone Number : 701-224-9449
Fax Number :
Provider Business Practice Location Address
First Line : 806 N WASHINGTON ST
Second Line :
City : BISMARCK
State : ND
Zip : 58501-3623
Country : US
Telephone Number : 701-355-3028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 07/08/2007

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Directions to “ MRS. NICOLE S. BICHLER M.S., CCC-SLP” Practice Location

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