Doctor Name: | MS. NICOLE ALTHEA TULLY |
NPI Number: | 1396956934 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC SLP |
License Number: | 41YS00395300 |
Business Practice Address: | 61 Maplewood Avenue Cranbury, NJ - 08512 |
Business Phone Number: | 6093950641 |
Business Fax Number: | |
Mailing Address: | 420 Lancaster Ct, PISCATAWAY |
State: | NJ |
Postal Code: | 08854 |
Phone Number: | 7328780207 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 41YS00395300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
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 |