National Provider Identifier

Nicole Rush

Nicole Rush is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Depew, NY and a listed phone number of (716) 901-8758.

NPI 1619698446Depew, NYSpeech-Language Pathologist

Profile Overview

NPI
1619698446
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
September 09, 2022
Last Updated
September 09, 2022

Practice Location

  • 2049 George Urban Blvd
  • Depew, NY 14043-1823

Phone: (716) 901-8758

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1619698446
Entity Type
Individual
Last Name
Rush
First Name
Nicole
Mailing Street Address
2049 George Urban Blvd
Mailing City
Depew
Mailing State
NY
Mailing ZIP Code
14043-1823
Mailing Country
US
Practice Street Address
2049 George Urban Blvd
Practice City
Depew
Practice State
NY
Practice ZIP Code
14043-1823
Practice Country
US
Practice Phone
(716) 901-8758
Enumeration Date
September 09, 2022
Last Updated
September 09, 2022
Sex
Female
Sole Proprietor
No
Certification Date
September 09, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)