Individual
NICHOLE CROCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCD CCC SLP
Contact information
Practice address
545 OLD NORCROSS RD, LAWRENCEVILLE, GA 30046-3389
(678) 377-2833
Mailing address
4648 EQUESTRIAN WAY, DUNWOODY, GA 30338-5737
(678) 485-7691
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP010638
GA
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
03/16/2019
Last updated
08/28/2025
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