Nickelberry, Carylon

Nickelberry, Carylon is an sole proprietor health care provider with primary practice located at 4311 Gabriel Cir , Shreveport LA 71109-6602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / School is her primary health care specialty. Nickelberry, Carylon can be contacted via phone (318) 834-3086.

Contact Information

Primary practice address
4311 Gabriel Cir Shreveport LA 71109-6602
Phone: (318) 834-3086
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 101YS0200X Louisiana
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 276 Louisiana

Profile Details

NPI number 1326597964
LBN Legal business name Nickelberry, Carylon
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 23rd, 2016
Last updated Sep 23rd, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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