Individual
NICOLE PAQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
955 HARPERSVILLE RD, NEWPORT NEWS, VA 23601-1085
(757) 223-1600
Mailing address
955 HARPERSVILLE RD, NEWPORT NEWS, VA 23601-1085
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005881
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2202005881
VA STATE LICENSURE
VA
Enumeration date
11/18/2009
Last updated
06/11/2019
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