Individual
MRS. NICOLE MARIE SPEAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
14517 MEADOWLAND CIR, NEWARK, TX 76071-9103
(817) 381-8272
Mailing address
4108 AINSLY LN, FORT WORTH, TX 76244-6325
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
364000
TX
235Z00000X
Speech-Language Pathologist
113688
TX
Other
Enumeration date
09/03/2019
Last updated
04/25/2026
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