Doctor Name: | DR. NICOLE NOEL RICCI |
NPI Number: | 1619251469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D., CCC-SLP |
License Number: | 020949-1 |
Business Practice Address: | 16-10 Utopia Parkway Third Floor, Room 303 P9@209q Whitestone, NY - 11357 |
Business Phone Number: | 7183527075 |
Business Fax Number: | |
Mailing Address: | 1021 Maple Dr, FRANKLIN SQUARE |
State: | NY |
Postal Code: | 110103042 |
Phone Number: | 5162702519 |
Fax Number: | |
NPI Enumeration Date: | 09/28/2011 |
NPI Last Update Date: | 03/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 020949-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |