Provider Demographics
NPI:1437552981
Name:WOODS, NICOLE ASHLEY (MS CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:ASHLEY
Last Name:WOODS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:MRS
Other - First Name:NICOLE
Other - Middle Name:ASHLEY
Other - Last Name:WARRINER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:323 S. ZENIA AVE.
Mailing Address - Street 2:
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205
Mailing Address - Country:US
Mailing Address - Phone:609-412-5351
Mailing Address - Fax:
Practice Address - Street 1:142 N LEIPZIG AVE
Practice Address - Street 2:
Practice Address - City:EGG HARBOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08215-3376
Practice Address - Country:US
Practice Address - Phone:609-412-5351
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-09-29
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS0065880235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist