National Provider Identifier

Nicole Marie Masula Schiller, CCC-SLP

Nicole Marie Masula Schiller, CCC-SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Ithaca, NY and a listed phone number of (607) 247-2129.

NPI 1164707493Ithaca, NYSpeech-Language Pathologist

Profile Overview

NPI
1164707493
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 18, 2011
Last Updated
October 18, 2011

Practice Location

  • 520 Hudson St
  • Ithaca, NY 14850-5750

Phone: (607) 247-2129

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1164707493
Entity Type
Individual
Last Name
Schiller
First Name
Nicole
Middle Name
Marie Masula
Name Prefix
Mrs.
Credential
CCC-SLP
Mailing Street Address
520 Hudson St
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-5750
Mailing Country
US
Mailing Phone
(607) 247-2129
Practice Street Address
520 Hudson St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-5750
Practice Country
US
Practice Phone
(607) 247-2129
Enumeration Date
October 18, 2011
Last Updated
October 18, 2011
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)
Other Identifiers
02570-1 (NY, Nys Dept. Of Ed. Office Of The Professions)