Individual
NICOLE SEPIDEH NOORIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CF-SLP
Contact information
Practice address
6710 MALLERY DR, LANHAM, MD 20706-3964
(301) 931-5602
Mailing address
6710 MALLERY DR, LANHAM, MD 20706-3964
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
02486L
MD
Other
Enumeration date
06/21/2022
Last updated
06/21/2022
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