Doctor Name: | FELICIA NICHOLAS |
NPI Number: | 1811291040 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 007566 |
Business Practice Address: | 47 W Kendrick Ave Hamilton, NY - 133461230 |
Business Phone Number: | 3158246300 |
Business Fax Number: | |
Mailing Address: | 2668 Woodman Pond Rd, HAMILTON |
State: | NY |
Postal Code: | 133462110 |
Phone Number: | 3158243253 |
Fax Number: | |
NPI Enumeration Date: | 01/03/2011 |
NPI Last Update Date: | 01/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | 007566 |
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 |