Healthcare Provider Details
I. General information
NPI: 1639002157
Provider Name (Legal Business Name): NIKOL NEIGER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1725 IRVING ST
SAN FRANCISCO CA
94122-1815
US
IV. Provider business mailing address
448 SAINT FRANCIS BLVD
DALY CITY CA
94015-2135
US
V. Phone/Fax
- Phone: 415-751-2821
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: