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Individual

NICOLE RENEE PELON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
912 REDSTART AVE, CHESAPEAKE, VA 23324-1840
(757) 636-6801
Mailing address
912 REDSTART AVE, CHESAPEAKE, VA 23324-1840
(757) 636-6801

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202005949
VA
235Z00000X
Speech-Language Pathologist
Primary

Other

Enumeration date
08/02/2019
Last updated
02/24/2026
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