Nicole Backes, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Liverpool, NY
NPI 1043829344 · NPPES record last updated Jul 23, 2020
Key facts
- NPI
- 1043829344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- Practice address
- 4768 Buckley Rd Apt 11
Liverpool, NY 13088-3663 - Phone
- (315) 560-7465
- NPI assigned
- Jul 23, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | Yes |
Addresses
Primary practice location
4768 Buckley Rd Apt 11
Liverpool, NY 13088-3663
Mailing address
4768 Buckley Rd Apt 11
Liverpool, NY 13088-3663
Phone (315) 560-7465
Other providers in Liverpool, NY
- Angela Aziz Donnelly
- Julie G. Aziz
- Nabil A Aziz
- Nadir Adly Aziz
- Erin Azzarello
- Zaki Badawy
- Ann E. Badger
- Elizabeth C Baez
- Erin Bagley
- Ryan Bailey
All providers in Liverpool, NY · Speech-Language Pathologist in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 23, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.