Individual
NICOLE BUCHMANN THRELFALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
371 STEINHAUSER LN, WYCKOFF, NJ 07481-1040
(201) 478-1404
Mailing address
371 STEINHAUSER LN, WYCKOFF, NJ 07481-1040
(201) 478-1404
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00730600
NJ
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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