Individual
NICHOLE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
415 BENEDUM DR, BRIDGEPORT, WV 26330-1503
(304) 842-9887
(304) 842-9888
Mailing address
373 RUMER STA, RED HOUSE, WV 25168-6803
(304) 545-7988
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
P-0397
WV
Other
Enumeration date
03/23/2007
Last updated
09/11/2025
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