Most Relevant Information
Provider Data
| NPI Number: | 1003345372 |
| Provider Name: | NICOLE RENEE OLIPHANT MA, CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 4125 |
Most Important Dates
| Enumeration Date: | 06/08/2017 |
| Last Updated: | 07/21/2022 |
Provider Practice Location
12810 W 133 PL APT 3109
OVERLAND PARK
KS
66213
Practice Location Phone/Fax
| Phone: | 7856434692 |
| Fax: |
Provider Mailing Location
12810 W 133RD PL APT 3109
OVERLAND PARK
KS
662134948
Provider Mailing Phone/Fax
| Phone: | 7856434692 |
| Fax: |