Most Relevant Information
Provider Data
| NPI Number: | 1003476805 |
| Provider Name: | NICOLE ANN LADIA M.S.ED., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP001021 |
Most Important Dates
| Enumeration Date: | 06/14/2019 |
| Last Updated: | 06/14/2019 |
Provider Practice Location
6116 BANGOR DR
ALEXANDRIA
VA
223032308
Practice Location Phone/Fax
| Phone: | 5712393688 |
| Fax: |
Provider Mailing Location
6116 BANGOR DR
ALEXANDRIA
VA
223032308
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |