| Organization Name: | NEVADA SPEECH AND THERAPY GROUP |
| NPI Number: | 1194162990 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NICOLE MARIE ANDERSON (SPEECH-LANGUAGE PATHOLOGIST/OWNER) |
| Mailing Address: | 2225 Rio Lobo Ln Reno |
| State: | NV US |
| Postal Code: | 895215285 |
| Phone Number: | 7757425288 |
| Fax Number: | 7758519231 |
| NPI Enumeration Date: | 06/03/2013 |
| NPI Last Update Date: | 06/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | 1111 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NV |
| 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 |