Provider Demographics
NPI:1760956759
Name:KUZMAN, NICOLETTE (MS CF-SLP)
Entity Type:Individual
Prefix:
First Name:NICOLETTE
Middle Name:
Last Name:KUZMAN
Suffix:
Gender:F
Credentials:MS CF-SLP
Other - Prefix:
Other - First Name:NICOLETTE
Other - Middle Name:
Other - Last Name:ISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20 HOWARDS CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SANDY HOOK
Mailing Address - State:KY
Mailing Address - Zip Code:41171-8535
Mailing Address - Country:US
Mailing Address - Phone:606-738-9400
Mailing Address - Fax:
Practice Address - Street 1:20 HOWARDS CREEK RD
Practice Address - Street 2:
Practice Address - City:SANDY HOOK
Practice Address - State:KY
Practice Address - Zip Code:41171-8535
Practice Address - Country:US
Practice Address - Phone:606-738-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-14
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY242525235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist