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Nicole Bacan, MA, CCC-SLP

Speech-Language Pathologist, in Sioux City, IA. Individual provider (NPI-1).

NPI number1275958845
StatusActive
Last updated in NPPESFeb 19, 2014

Details

NPI
1275958845
Entity type
Individual (NPI-1)
Name
Nicole Bacan
Credential
MA, CCC-SLP
Sex
Female
Sole proprietor
No
Enumeration date
Feb 19, 2014
Last updated
Feb 19, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,002213IAYes

Practice location

709 Iowa St
Sioux City, IA 51105-1945

Phone 712-522-2961

Mailing address

709 Iowa St
Sioux City, IA 51105-1945

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