Mrs Nicole Marie Travis, MA CCC-SLP is a
Speech-language Pathologist based in Conklin, New York. Mrs Nicole Marie Travis is licensed to practice in New York (license number 015040-1) and her current practice location is
1040 Conklin Rd, Conklin, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 775-0176.
NPI number for Mrs Nicole Marie Travis is 1750617551 and her current mailing address is 6 Richard Ave, Binghamton, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750617551.
Healthcare Provider's Profile
Full Name | Mrs Nicole Marie Travis |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 1040 Conklin Rd, Conklin, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1750617551
- Provider Enumeration Date: 10/29/2009
- Last Update Date: 07/21/2022
Medical Identifiers
Medical identifiers for Mrs Nicole Marie Travis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750617551 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 015040-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Nicole Marie Travis is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Nicole Marie Travis, MA CCC-SLP 6 Richard Ave, Binghamton, NY 13903-3364 Ph: (607) 343-6207 | Mrs Nicole Marie Travis, MA CCC-SLP 1040 Conklin Rd, Conklin, NY 13748-1136 Ph: (607) 775-0176 |
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