NPI 1962238337 · live from the CMS NPI Registry
Olivia Nicole Dallas
Speech-Language Pathologist, in Newark, DE. National Provider Identifier 1962238337, active.
NPI record
| NPI | 1962238337 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Speech-Language Pathologist, 235Z00000X |
| Practice location | 540 S College Ave Ste 102, Newark, DE 19713 |
| Practice phone | 302-831-7100 |
| Mailing address | 502 Bramblewood Dr, Douglassville, PA 19518 |
| Enumerated | September 11, 2024 |
| Last updated | September 11, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Pathologist, primary | 235Z00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.