Healthcare Provider Details

I. General information

NPI: 1992622526
Provider Name (Legal Business Name): MS. NICOLE MARIE MORTON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2026
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 LEDGE RD
DARIEN CT
06820-4439
US

IV. Provider business mailing address

5800 GRANITE PKWY STE 325
PLANO TX
75024-6898
US

V. Phone/Fax

Practice location:
  • Phone: 203-662-1090
  • Fax:
Mailing address:
  • Phone: 972-646-6130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number003121
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: