National Provider Identifier
Nicole Ruth Macclellan, MS SPED/ELED
Nicole Ruth Macclellan, MS SPED/ELED is listed in the NPPES registry with a primary specialty of Specialist in Tonawanda, NY and a listed phone number of (716) 208-4333.
Profile Overview
- NPI
- 1649534041
- Provider Type
- Individual
- Primary Specialty
- Specialist
- Enumeration Date
- June 29, 2012
- Last Updated
- June 29, 2012
Practice Location
- 23 Claremont Ave
- Tonawanda, NY 14223-2905
Phone: (716) 208-4333
Specialties
- Specialist (174400000X)
Full Record
- NPI
- 1649534041
- Entity Type
- Individual
- Last Name
- Macclellan
- First Name
- Nicole
- Middle Name
- Ruth
- Name Prefix
- Mrs.
- Credential
- MS SPED/ELED
- Mailing Street Address
- 23 Claremont Ave
- Mailing City
- Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14223-2905
- Mailing Country
- US
- Mailing Phone
- (716) 208-4333
- Practice Street Address
- 23 Claremont Ave
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14223-2905
- Practice Country
- US
- Practice Phone
- (716) 208-4333
- Enumeration Date
- June 29, 2012
- Last Updated
- June 29, 2012
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Specialist (174400000X)