Individual
NICOLE ELIZABETH AMMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
1014 W 36TH ST # 665, BALTIMORE, MD 21211-2415
(667) 408-2095
Mailing address
1014 W 36TH ST # 665, BALTIMORE, MD 21211-2415
(667) 408-2095
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
10765
MD
235Z00000X
Speech-Language Pathologist
22007026A
IN
235Z00000X
Speech-Language Pathologist
LL61195832
WA
Other
Enumeration date
08/14/2017
Last updated
11/10/2023
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