Nikki Dubois, CCC-SLP
Individual provider Active NPI Speech-Language Pathologist · Cochran, GA
NPI 1710040951 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1710040951
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP005374 (GA)
- Practice address
- 165 Race Track Dr.
Cochran, GA 31014 - Phone
- (478) 934-2309
- Fax
- (478) 934-2341
- NPI assigned
- Dec 19, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLP005374 | GA | MD | Speech-Language Pathologist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SLP005374 | GA | Yes |
Addresses
Primary practice location
165 Race Track Dr.
Cochran, GA 31014
Mailing address
165 Race Track Dr.
Cochran, GA 31014
Phone (478) 934-2309
Other providers in Cochran, GA
- Alena Caroline Dayhoff
- Jennifer C. Dennis
- Dr Dudley B Christie Jr
- Dr. Bill'S Kids, PC
- Dr. Richard C. Anderson
- Robert Alan Dykes
- Shemika N Elvine
- Melissa English
- Brenda R. Ethridge
- Fasttrack Immediate Care, LLC
All providers in Cochran, GA · Speech-Language Pathologist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. 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.