Individual
NICOLE DEARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS., CCC-SLP
Contact information
Practice address
37 TOWN FARM RD, WOODSTOCK, CT 06281-1721
(401) 481-3627
Mailing address
37 TOWN FARM RD, WOODSTOCK, CT 06281-1721
(401) 481-3627
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP00884
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NC62944
—
RI
Enumeration date
03/08/2007
Last updated
04/25/2022
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