Individual
NICOLE WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
133 EAYRESTOWN RD STE F, SOUTHAMPTON, NJ 08088-9122
(609) 234-6545
Mailing address
14 MELVILLE DR, MEDFORD, NJ 08055-3944
(609) 234-6546
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
41YS00948200
NJ
235Z00000X
Speech-Language Pathologist
Primary
—
NJ
Other
Enumeration date
07/09/2018
Last updated
06/11/2019
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