Doctor Name: | MRS. NICOLE RENEE OWENS |
NPI Number: | 1609120377 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC/SLP |
License Number: | SL009884 |
Business Practice Address: | 223 Pittsburgh St Saxonburg, PA - 160562217 |
Business Phone Number: | 7243529445 |
Business Fax Number: | 7243529061 |
Mailing Address: | 223 Pittsburgh St, SAXONBURG |
State: | PA |
Postal Code: | 160562217 |
Phone Number: | 7243529445 |
Fax Number: | 7243529061 |
NPI Enumeration Date: | 11/02/2012 |
NPI Last Update Date: | 11/02/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SL009884 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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 |