# NICHOLE CARUBIA SPEECH LANGUAGE PATHOLOGY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639591290
- **Authorized official:** NICHOLE F CARUBIA MA, CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST, OWNER)
- **Authorized official phone:** (360) 319-9248

## Contact information

- **Practice address:** 620 N WAUGH RD, MOUNT VERNON, WA 98273-9469
- **Practice address phone:** (360) 319-9248
- **Mailing address:** 620 N WAUGH RD, MOUNT VERNON, WA 98273-9469
- **Mailing address phone:** (360) 319-9248

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QH0700X | Hearing and Speech Clinic/Center | LL00004767 | WA | Yes |

## Other

- **Enumeration date:** 01/15/2014
- **Last updated:** 01/15/2014