Nicole South, M.S. CCC-SLP
NPI #1801360045 in Blue Point, New York
Provider Information
- NPI Number
- 1801360045
- Entity Type
- Individual
- Name
- Nicole South, M.S. CCC-SLP
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Speech-Language Pathologist
- Credential
- M.S. CCC-SLP
- Enumeration Date
- Jan 21, 2019
- Last Updated
- Sep 18, 2019
Practice Location
- Address
- 235 BLUE POINT AVE
- City
- Blue Point
- State
- New York
- ZIP Code
- 11715-1261
- Phone
- (631) 363-5794
Specialties & Taxonomy Codes
| Specialty |
|---|
| Student in an Organized Health Care Education/Training Program |
| Speech-Language Pathologist |
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