Individual
NICOLE POVEROMO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
200 BRISTOL GLEN DR, NEWTON, NJ 07860-2329
(973) 300-5788
Mailing address
39 OLD RT 84, SUSSEX, NJ 07461-3941
(973) 875-2645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
YS02499
NJ
Other
Enumeration date
06/23/2009
Last updated
06/23/2009
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