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Organization

EXPRESSIVE EDGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. NICOLE NIEL MCCORRISTON CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(323) 646-4843
Entity
Organization

Contact information

Practice address
10670 S MARYLAND PKWY STE 135, HENDERSON, NV 89052-8713
(323) 646-4843
(702) 442-1886
Mailing address
10670 S MARYLAND PKWY STE 135, HENDERSON, NV 89052-8713
(323) 646-4843
(702) 442-1886

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
06/01/2026
Last updated
06/01/2026
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