Provider Demographics
NPI:1316560717
Name:NORDIN, OLIVIA CATHERINE (MA, CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:OLIVIA
Middle Name:CATHERINE
Last Name:NORDIN
Suffix:
Gender:F
Credentials:MA, CCC-SLP
Other - Prefix:
Other - First Name:OLIVIA
Other - Middle Name:CATHERINE
Other - Last Name:WNEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CCC-SLP
Mailing Address - Street 1:3500 DEPAUW BLVD STE 3070
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-6135
Mailing Address - Country:US
Mailing Address - Phone:855-324-0885
Mailing Address - Fax:317-520-8200
Practice Address - Street 1:703 STATE ROUTE 28
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-5021
Practice Address - Country:US
Practice Address - Phone:513-831-2578
Practice Address - Fax:317-520-8200
Is Sole Proprietor?:No
Enumeration Date:2020-05-20
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP.14444235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist