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Organization

NIA SPEECH THERAPY AND CONSULTING, LLC

Active
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Organization

NIA SPEECH THERAPY AND CONSULTING, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NIKISHA CLEMENTIN MED, CCC-SLP (OWNER/MGR)
(321) 426-1645
Entity
Organization

Contact information

Practice address
545 KYLAR DR NW, PALM BAY, FL 32907-6806
(321) 426-1645
Mailing address
3425 BAYSIDE LAKES BLVD SE, STE 103 PMB 1155, PALM BAY, FL 32909
(321) 426-1645

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—

Other

Enumeration date
08/19/2025
Last updated
08/19/2025
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