Most Relevant Information
Provider Data
| NPI Number: | 1003219213 |
| Provider Name: | NICOLE NEWCOMB M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 2202006628 |
Most Important Dates
| Enumeration Date: | 10/01/2014 |
| Last Updated: | 10/01/2014 |
Provider Practice Location
5539 HWY 47
CHASE CITY
VA
239243727
Practice Location Phone/Fax
| Phone: | 4343721000 |
| Fax: |
Provider Mailing Location
5539 HWY 47
CHASE CITY
VA
239243727
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |