Provider Demographics
NPI:1770689366
Name:SIZLER, NICOLE DIANE (MA)
Entity Type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:DIANE
Last Name:SIZLER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17512 W 130TH ST
Mailing Address - Street 2:
Mailing Address - City:STRONGSVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:44136-8032
Mailing Address - Country:US
Mailing Address - Phone:440-334-9551
Mailing Address - Fax:
Practice Address - Street 1:11925 PEARL RD STE 102A
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-3343
Practice Address - Country:US
Practice Address - Phone:440-253-9141
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2022-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHSP 8550235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist