Individual
MS. NICHELLE PORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, CCC-SLP
Contact information
Practice address
1021 N MALLORY ST, HAMPTON, VA 23663-1464
(757) 722-1056
Mailing address
16 NORTHCUTT DR, HAMPTON, VA 23664-1178
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002205
VA
Other
Enumeration date
12/14/2017
Last updated
12/14/2017
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