Doctor Name: | MRS. NICOLE C HODDICK |
NPI Number: | 1619278199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS CCC-SLP |
License Number: | 7556 |
Business Practice Address: | 255 Lebanon Ave Pittsfield, MA - 012017828 |
Business Phone Number: | 4134992334 |
Business Fax Number: | |
Mailing Address: | 105 Cortland Dr, VALATIE |
State: | NY |
Postal Code: | 121844805 |
Phone Number: | 5185423243 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2010 |
NPI Last Update Date: | 11/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 7556 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |