Theodoridis, Nicki Jo

Theodoridis, Nicki Jo is an sole proprietor health care provider with primary practice located at 715 Glenridge Dr , Edmond OK 73013-1824. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Theodoridis, Nicki Jo can be contacted via phone (816) 753-5459.

Contact Information

Primary practice address
715 Glenridge Dr Edmond OK 73013-1824
Phone: (816) 753-5459
Fax: (816) 753-5119
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2016009648 Missouri
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 996 Oklahoma
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 3903 Kansas

Profile Details

NPI number 1932653789
LBN Legal business name Theodoridis, Nicki Jo
Credentials M.ED.,CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 10th, 2016
Last updated Aug 10th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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