Nicole Wong, MA CCC-SLP

NPI 1790294890 · on the registry since 2017 · sole proprietor

Practice

Address: 780 S Apollo Blvd Ste 104
Melbourne, FL 32901
Phone: (321) 432-2572
Organisation at this address: Laboratory Corporation Of America
Home Health Agency - Brevard, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 6

Registry record

Primary taxonomy: 235Z00000X
235Z00000X
Licence states on file: FL
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2024-03-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida