South, Nicole

South, Nicole is an individual health care provider with primary practice located at 235 Blue Point Ave , Blue Point NY 11715-1261. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. South, Nicole can be contacted via phone (631) 363-5794.

Contact Information

Primary practice address
235 Blue Point Ave Blue Point NY 11715-1261
Phone: (631) 363-5794
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 029147 New York

Profile Details

NPI number 1801360045
LBN Legal business name South, Nicole
Credentials M.S. CCC-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 21st, 2019
Last updated Sep 18th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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