Individual
MISS NICOLE DIDOMENICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
3935 SUNNYSIDE DR, A, ROCKINGHAM, VA 22801-2328
(540) 568-8505
Mailing address
5054 KELSO ST, SUFFOLK, VA 23435-2390
(757) 358-0511
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202007413
VA
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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