National Provider Identifier

Nicole Cline Clements

Nicole Cline Clements is listed in the NPPES registry with a primary specialty of Speech-Language Pathologist in Ithaca, NY and a listed phone number of (607) 274-2134.

NPI 1902687585Ithaca, NYSpeech-Language Pathologist

Profile Overview

NPI
1902687585
Provider Type
Individual
Primary Specialty
Speech-Language Pathologist
Enumeration Date
October 10, 2023
Last Updated
September 01, 2024

Practice Location

  • 400 Lake St
  • Ithaca, NY 14850-2132

Phone: (607) 274-2134

Mailing Address

  • 425 Winthrop Dr
  • Ithaca, NY 14850-1738

Specialties

  • Speech-Language Pathologist (235Z00000X)
Full Record
NPI
1902687585
Entity Type
Individual
Last Name
Clements
First Name
Nicole
Middle Name
Cline
Mailing Street Address
425 Winthrop Dr
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850-1738
Mailing Country
US
Mailing Phone
(607) 257-2121
Practice Street Address
400 Lake St
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850-2132
Practice Country
US
Practice Phone
(607) 274-2134
Enumeration Date
October 10, 2023
Last Updated
September 01, 2024
Sex
Female
Sole Proprietor
No
Certification Date
September 01, 2024
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Speech-Language Pathologist (235Z00000X)