Doctor Name: | ZONYA NICHOLAS |
NPI Number: | 1598142655 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, CCC-SLP |
License Number: | SL0118822 |
Business Practice Address: | 600 Roe Ave Elmira, NY - 149051629 |
Business Phone Number: | 6072713725 |
Business Fax Number: | 6077355741 |
Mailing Address: | 600 Roe Ave, ELMIRA |
State: | NY |
Postal Code: | 149051629 |
Phone Number: | 6072713725 |
Fax Number: | 6077355741 |
NPI Enumeration Date: | 04/28/2015 |
NPI Last Update Date: | 04/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL0118822 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |