Mrs Nicole Nicolette-walz, MS CCC SLP | |
2 Fountain St Ste 109, Clinton, NY 13323-1725 | |
(315) 858-6090 | |
(315) 853-3190 |
Full Name | Mrs Nicole Nicolette-walz |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 2 Fountain St Ste 109, Clinton, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1588800718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 010183 (New York) | Primary |
Provider Name | Speech Language Therapy Of Central New York Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1649723727 PECOS PAC ID: 2860780186 Enrollment ID: O20161019000813 |
Mailing Address | Practice Location Address |
---|---|
Mrs Nicole Nicolette-walz, MS CCC SLP 2 Fountain St Ste 109, Clinton, NY 13323-1725 Ph: (315) 858-6090 | Mrs Nicole Nicolette-walz, MS CCC SLP 2 Fountain St Ste 109, Clinton, NY 13323-1725 Ph: (315) 858-6090 |
Gennifer Lynn Pole, M.S. CFY-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2 Fountain St, Clinton, NY 13323 Phone: 315-853-6090 Fax: 315-853-3190 | |
Mrs. Tracy Wester Kulyk, M.S.P. CCC-SLP, M.ED Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 75 Chenango Ave, Clinton, NY 13323 Phone: 315-557-2209 | |
Cara Tofani, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19 Robinson Rd, Clinton, NY 13323 Phone: 315-853-6090 | |
Mrs. Kathleen Frances Contessa, MA, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 6722 Reservoir Rd, Clinton, NY 13323 Phone: 908-328-8281 | |
Tina Alice Hoyt, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 316 Stafford Cir N, Clinton, NY 13323 Phone: 315-507-4428 | |
Karli Johnson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19 Robinson Rd, Clinton, NY 13323 Phone: 631-365-9332 | |
Meghan Elizabeth Sweeney, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 19 Robinson Rd, Clinton, NY 13323 Phone: 315-853-6090 |