| Doctor Name: | NICOLE ANN KAIZEN |
| NPI Number: | 1255456083 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SPEECH PATHOLOGIST |
| License Number: | SL004211L |
| Business Practice Address: | Gracedale Avenue Nazareth, PA - 180649213 |
| Business Phone Number: | 6107461947 |
| Business Fax Number: | |
| Mailing Address: | 2590 Gillian Ln, EASTON |
| State: | PA |
| Postal Code: | 180405820 |
| Phone Number: | 6102505801 |
| Fax Number: | |
| NPI Enumeration Date: | 03/20/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SL004211L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |