Doctor Name: | NICOLE JACQUELINE PRINCE |
NPI Number: | 1043695612 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 110273 |
Business Practice Address: | 814 N Expressway # 77 Suite 5 Brownsville, TX - 785211422 |
Business Phone Number: | 9564430266 |
Business Fax Number: | 9564430292 |
Mailing Address: | 814 N Expressway # 77, Suite 5 BROWNSVILLE |
State: | TX |
Postal Code: | 785211422 |
Phone Number: | 9564430266 |
Fax Number: | 9564430292 |
NPI Enumeration Date: | 07/24/2015 |
NPI Last Update Date: | 07/24/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 110273 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
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 |