Individual
MRS. AMY S NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
4114 SHIPYARD BLVD, WILMINGTON, NC 28403
(910) 343-8988
(910) 343-4144
Mailing address
4114 SHIPYARD BLVD, WILMINGTON, NC 28403
(910) 343-8988
(910) 343-4144
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
Primary
4922
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7411664
—
NC
Enumeration date
07/19/2006
Last updated
07/16/2021
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