Individual
NICOLE SPENCER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
522 S INDEPENDENCE BLVD STE 103, VIRGINIA BEACH, VA 23452-1149
(757) 453-4899
(518) 274-5438
Mailing address
522 S INDEPENDENCE BLVD STE 103, VIRGINIA BEACH, VA 23452-1149
(757) 453-4899
(518) 274-5438
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202008973
VA
Other
Enumeration date
06/09/2016
Last updated
08/06/2024
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