Individual
NICOLE BRORSEN DRIGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
764 US ROUTE 1 STE 4, YORK, ME 03909-5906
(207) 351-3078
Mailing address
5 CHESTNUT LN, KENNEBUNK, ME 04043-7179
(207) 502-7550
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP2659
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TSLP-5878
STATE OF AZ DEPT. OF HEALTH,
AZ
Enumeration date
06/16/2008
Last updated
03/17/2018
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