Individual
NICOLE NIEL MCCORRISTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED., CCC-SLP
Contact information
Practice address
9121 W RUSSELL RD STE 117, LAS VEGAS, NV 89148-1238
(702) 499-6638
Mailing address
10575 ALONDRA PEAK ST, LAS VEGAS, NV 89183-4651
(323) 646-4843
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP-3864
NV
Other
Enumeration date
03/21/2024
Last updated
05/12/2024
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