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NPI Code Detail

MEDICARE: MRS. NICOLE TROENDLE M.S. CCC-SLP

MEDICARE:  MRS. NICOLE  TROENDLE  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
1235Z00000XSpeech-Language Pathologist41YS00566900NJ

General Provider Information

NPI Number : 1861103954
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. NICOLE TROENDLE M.S. CCC-SLP
Provider Business Mailing Address
First Line : 160 BRIARCLIFF DR
Second Line :
City : EGG HARBOR TWP
State : NJ
Zip : 08234-8206
Country : US
Telephone Number : 908-309-9883
Fax Number :
Provider Business Practice Location Address
First Line : 160 BRIARCLIFF DR
Second Line :
City : EGG HARBOR TWP
State : NJ
Zip : 08234-8206
Country : US
Telephone Number : 908-309-9883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2022
Last Update Date : 12/09/2022

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Directions to “ MRS. NICOLE TROENDLE M.S. CCC-SLP” Practice Location

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