MEDICARE: NIKKI L. CURTIS M.S., 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
1	235Z00000X	Speech-Language Pathologist	11061	NC
2	235Z00000X	Speech-Language Pathologist	6020	LA

General Provider Information

NPI Number	:	1447663752
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NIKKI L. CURTIS M.S., CCC-SLP

Provider Business Mailing Address
First Line	:	5140 PARCSTONE LN APT A
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-0894
Country	:	US
Telephone Number	:	337-257-1086
Fax Number	:

Provider Business Practice Location Address
First Line	:	5140 PARCSTONE LN APT A
Second Line	:
City	:	FAYETTEVILLE
State	:	NC
Zip	:	28314-0894
Country	:	US
Telephone Number	:	337-257-1086
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/04/2014
Last Update Date	:	07/21/2014

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Directions to “ NIKKI L. CURTIS M.S., CCC-SLP” Practice Location

Language	Start Address	Practice Location

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