Nicolette Angelina Born, M.S-CCC-SLP
Speech-Language Pathologist, in Washington, PA. Individual provider (NPI-1).
NPI number1992322671
StatusActive
Last updated in NPPESOct 16, 2021
Details
- NPI
- 1992322671
- Entity type
- Individual (NPI-1)
- Name
- Nicolette Angelina Born
- Credential
- M.S-CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 29, 2020
- Certification date
- Oct 16, 2021
- Last updated
- Oct 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SL015209 | PA | Yes |
| 235Z00000X | Speech-Language Pathologist, | SA19218 | FL |
Other names
- Nicolette Angelina Hughes (Former Name)
Practice location
2112 N Franklin Dr Ste 4-5Washington, PA 15301-5874
Phone 724-705-7050
Mailing address
3133 Triphammer RdSouth Park, PA 15129-9434
Phone 724-710-8907
Other practice locations
3133 Triphammer Rd
South Park, PA 15129-9434
South Park, PA 15129-9434
Phone 724-710-8907
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