National Provider Identifier

Nicole Lynn Principino, SLP

Nicole Lynn Principino, SLP is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Fairport, NY and a listed phone number of (585) 425-7710.

NPI 1215193206Fairport, NYSpeech-Language Pathologist

Profile Overview

NPI
1215193206
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
July 30, 2008
Last Updated
July 30, 2008

Practice Location

  • 370 Cross Keys Office Park
  • Fairport, NY 14450-3511

Phone: (585) 425-7710

Mailing Address

  • 163 S Main St
  • Fairport, NY 14450-2517

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1215193206
Entity Type
Individual
Last Name
Principino
First Name
Nicole
Middle Name
Lynn
Credential
SLP
Mailing Street Address
163 S Main St
Mailing City
Fairport
Mailing State
NY
Mailing ZIP Code
14450-2517
Mailing Country
US
Mailing Phone
(585) 794-1947
Practice Street Address
370 Cross Keys Office Park
Practice City
Fairport
Practice State
NY
Practice ZIP Code
14450-3511
Practice Country
US
Practice Phone
(585) 425-7710
Enumeration Date
July 30, 2008
Last Updated
July 30, 2008
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)