Individual
MRS. NICOLE EMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
9201 15TH AVE NW, SEATTLE, WA 98117-2336
(619) 214-5456
Mailing address
9738 2ND AVE NW, SEATTLE, WA 98117-2015
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
16894
CA
Other
Enumeration date
07/31/2015
Last updated
05/06/2021
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