Provider Demographics
NPI:1336385111
Name:ZOLZER, NICOLE (MA, SLP)
Entity Type:Individual
Prefix:MISS
First Name:NICOLE
Middle Name:
Last Name:ZOLZER
Suffix:
Gender:F
Credentials:MA, SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 STONE HEARTH CT
Mailing Address - Street 2:
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29909-7303
Mailing Address - Country:US
Mailing Address - Phone:516-680-4799
Mailing Address - Fax:
Practice Address - Street 1:14 STONE HEARTH CT
Practice Address - Street 2:
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29909-7303
Practice Address - Country:US
Practice Address - Phone:516-680-4799
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-27
Last Update Date:2023-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY018720235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist