Doctor Name: | MRS. NICOLE AMBER PIAZZA |
NPI Number: | 1750504791 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | SLP |
License Number: | 015139 |
Business Practice Address: | 280 Central Ave W123 Thompson Hall Fredonia, NY - 140631127 |
Business Phone Number: | 7166733202 |
Business Fax Number: | 7166733235 |
Mailing Address: | 26 Carol Ave, FREDONIA |
State: | NY |
Postal Code: | 140631208 |
Phone Number: | 7167856245 |
Fax Number: | |
NPI Enumeration Date: | 04/10/2007 |
NPI Last Update Date: | 02/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 015139 |
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 |