NPI 1538063763 · live from the CMS NPI Registry
Nicole D'Aversa, CCC-SLP
Speech-Language Pathologist, in Wilmington, DE. National Provider Identifier 1538063763, active.
NPI record
| NPI | 1538063763 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 16 Idella Ave, Wilmington, DE 19804 |
| Practice phone | 302-552-3796 |
| Mailing address | 8 Colonial Ct, Conshohocken, PA 19428 |
| Enumerated | October 2, 2026 |
| Last updated | October 2, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, | 235Z00000X | SL019579 (PA) |
| Speech-Language Pathologist, primary | 235Z00000X | O1-0012671 (DE) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.