Individual
NICOLE DEZENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
201 MASSACHUSETTS AVE NE STE C9, WASHINGTON, DC 20002-4988
(202) 544-5469
Mailing address
2108 POTOMAC AVE UNIT 101, ALEXANDRIA, VA 22301-3016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP001056
DC
Other
Enumeration date
04/08/2013
Last updated
10/28/2020
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