Doctor Name: | NICOLE M DECKER |
NPI Number: | 1679748610 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CLP |
License Number: | 018090-1 |
Business Practice Address: | 4635 Union Rd Cheektowaga, NY - 142251851 |
Business Phone Number: | 7165055700 |
Business Fax Number: | |
Mailing Address: | 1890 Como Park Blvd, LANCASTER |
State: | NY |
Postal Code: | 140862959 |
Phone Number: | 7165982204 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2008 |
NPI Last Update Date: | 11/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 018090-1 |
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 |