Individual
NICOLE M ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/SLP
Contact information
Practice address
902 CHATHAM CT, CHARLOTTESVILLE, VA 22901-1741
(141) 449-4592
(434) 979-8536
Mailing address
902 CHATHAM CT, CHARLOTTESVILLE, VA 22901-1741
(141) 449-4592
(434) 979-8536
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006334
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4980671
—
VA
Enumeration date
04/17/2012
Last updated
04/17/2012
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