Individual
MRS. NICOLE MARIE TERADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
12401 GAYTON RD, RICHMOND, VA 23238-2291
(804) 741-1011
Mailing address
115 OLD SHORT HILLS RD APT 453, WEST ORANGE, NJ 07052-1032
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202009612
VA
235Z00000X
Speech-Language Pathologist
41YS00739700
NJ
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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