National Provider Identifier
Nicole Johnson
Nicole Johnson is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Rochester, NY and a listed phone number of (585) 617-2314.
Profile Overview
- NPI
- 1659664571
- Provider Type
- Individual
- Primary Specialty
- Speech-Language Pathologist
- Enumeration Date
- May 25, 2011
- Last Updated
- August 07, 2023
Practice Location
- 160 Wallace Way Bldg 9
- Rochester, NY 14624
Phone: (585) 617-2314
Mailing Address
- PO Box 297
- Spencerport, NY 14559-0297
Specialties
- Speech-Language Pathologist (235Z00000X)
- Speech-Language Pathologist (235Z00000X)
Full Record
- NPI
- 1659664571
- Entity Type
- Individual
- Last Name
- Johnson
- First Name
- Nicole
- Provider Other Last Name
- Johnson
- Provider Other First Name
- Nicole
- Provider Other Middle Name
- P
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- PO Box 297
- Mailing City
- Spencerport
- Mailing State
- NY
- Mailing ZIP Code
- 14559-0297
- Mailing Country
- US
- Mailing Phone
- (716) 984-1296
- Practice Street Address
- 160 Wallace Way Bldg 9
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14624
- Practice Country
- US
- Practice Phone
- (585) 617-2314
- Enumeration Date
- May 25, 2011
- Last Updated
- August 07, 2023
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 07, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Speech-Language Pathologist (235Z00000X), Speech-Language Pathologist (235Z00000X)