Individual
NYCOLE MONTANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
12556 WISSANT LN, SAINT LOUIS, MO 63146-2723
(505) 330-9774
Mailing address
12556 WISSANT LN, SAINT LOUIS, MO 63146-2723
(505) 330-9774
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
656191
UT
Other
Enumeration date
12/08/2015
Last updated
12/08/2015
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