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Individual

NICOLE MATYSIAK-PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, CCC-SLP

Contact information

Practice address
55 BOBALA RD, HOLYOKE, MA 01040-9688
(800) 679-3609
Mailing address
55 BOBALA RD, HOLYOKE, MA 01040-9688
(413) 433-0486

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
6567
CT
235Z00000X
Speech-Language Pathologist
Primary
SLP100927
MA

Other

Enumeration date
06/03/2021
Last updated
04/16/2025
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