Nicole E George, MA, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Clarksville, OH
NPI 1104240233 · NPPES record last updated Apr 17, 2014
Key facts
- NPI
- 1104240233
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- 6068 (OH)
- Practice address
- 2380 Lebanon Rd
Clarksville, OH 45113-8326 - Phone
- (937) 289-2515
- NPI assigned
- Feb 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 6068 | OH | Yes |
Addresses
Primary practice location
2380 Lebanon Rd
Clarksville, OH 45113-8326
Mailing address
2380 Lebanon Rd
Clarksville, OH 45113-8326
Phone (937) 289-2515
Other providers in Clarksville, OH
- Stacy Doyle
- Amber Yvonne Fisher
- Colleen Yvonne Fisher
- Danaye Franek
- Johnathan William Gehringer
- Luanne Goode
- Donna Hogsett
- Hollon Financial Services
- Home Matters LLC
- Emily Hopf
All providers in Clarksville, OH · Speech-Language Pathologist in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 17, 2014. 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.