Individual
NICOLLETTE TIERRA RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1800 LAKE PARK DR SE, SMYRNA, GA 30080-7639
(646) 824-2764
Mailing address
4977 WHITEOAK WALK SE, SMYRNA, GA 30080-7440
(646) 824-2764
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
GA
Other
Enumeration date
05/28/2013
Last updated
07/21/2022
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