Individual
NICOLE PICCILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 685-2200
Mailing address
29 PENINSULA RD, MILLINGTON, NJ 07946-1301
(908) 642-5184
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
41YS01034900
NJ
Other
Enumeration date
10/29/2020
Last updated
10/29/2020
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