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NPI Code Detail

MEDICARE: NICOLE ASHLEY CORBO MA, CCC-SLP

MEDICARE: NICOLE ASHLEY CORBO MA, CCC-SLP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language Pathologist15438NC

General Provider Information

NPI Number : 1174072607
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE ASHLEY CORBO MA, CCC-SLP
Provider Business Mailing Address
First Line : 9020 SENCA DR STE 220
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-6680
Country : US
Telephone Number : 910-264-9317
Fax Number :
Provider Business Practice Location Address
First Line : 9020 SENCA DR STE 220
Second Line :
City : WILMINGTON
State : NC
Zip : 28411-6680
Country : US
Telephone Number : 910-264-9317
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/26/2016
Last Update Date : 03/31/2023

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Directions to “ NICOLE ASHLEY CORBO MA, CCC-SLP” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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