Individual
NICOLE THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MACCC/SLP
Contact information
Practice address
1 PELICAN DR STE 9, BAYVILLE, NJ 08721-1600
(732) 237-8830
Mailing address
1 PELICAN DR STE 9, BAYVILLE, NJ 08721-1600
(732) 237-8830
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00517700
NJ
Other
Enumeration date
02/27/2019
Last updated
02/27/2019
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