Active NPIIndividual providerSole proprietor

Mrs. Nicole S St. Amand, MS, CCC-SLP

Speech-Language Pathologist, in Rutland, Massachusetts

NPI Number1124684022
Practice location
62 Emerald RD, Rutland, MA 01543-1536
Fax
—
Last updated
May 15, 2019

Nicole Sophia St. Amand is a Speech-Language Pathologist, based in Rutland, MA. Nicole Sophia St. Amand practices in Rutland, MA and has the professional credentials of MS, CCC-SLP. The NPI Number for Nicole Sophia St. Amand is 1124684022 and holds a License No. 76747 (MA). The current practice location address for Nicole Sophia St. Amand is 62 Emerald RD, Rutland, MA 01543-1536 and can be reached out via phone at 413-537-3407.

Provider Profile Details

NPI Number
1124684022
Provider Name
Nicole Sophia St. Amand
Credential
MS, CCC-SLP
Provider Entity Type
Individual
Gender
Female
Address
62 Emerald RD, Rutland, MA 01543-1536
Phone Number
413-537-3407
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Provider Enumeration Date
May 15, 2019
Last Update Date
May 15, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Emerald RD
Rutland, MA 01543-1536
Zip
01543-1536
Phone Number
413-537-3407
Rutland, MA 01543Get directions →

Provider Business Mailing Address Details

Address
62 Emerald RD
Rutland, MA 01543-1536
City
Rutland
State
MA
Zip
01543-1536
Phone Number
413-537-3407

License Information

License Number
76747
License State
MA
Taxonomy
Speech-Language Pathologist, · 235Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Nicole S St. Amand, MS, CCC-SLP?

The NPI number of Mrs. Nicole S St. Amand, MS, CCC-SLP is 1124684022. It was assigned on May 15, 2019 and is currently active in the NPPES registry.

What is the specialty of Mrs. Nicole S St. Amand, MS, CCC-SLP?

Mrs. Nicole S St. Amand, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X), licensed in MA under license number 76747.

Where does Mrs. Nicole S St. Amand, MS, CCC-SLP practice?

The practice location is 62 Emerald RD, Rutland, MA 01543-1536. The office can be reached at 413-537-3407 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124684022 directly on the NPPES registry website.

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