Individual
NICOLE ANN LADIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED., CCC-SLP
Contact information
Practice address
6116 BANGOR DR, ALEXANDRIA, VA 22303-2308
(571) 239-3688
Mailing address
6116 BANGOR DR, ALEXANDRIA, VA 22303-2308
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001021
DC
Other
Enumeration date
06/14/2019
Last updated
06/14/2019
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