Individual
MRS. NICOLE DANIELLE FORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
3325 ROUTE 35, HAZLET, NJ 07730-1552
(732) 264-5800
Mailing address
1940 COMMERCE ST, ST. STE. 210, YORKTOWN HEIGHTS, NY 10598-4428
(914) 631-9020
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS00513500
NJ
Other
Enumeration date
06/01/2011
Last updated
06/01/2011
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