Provider Demographics
NPI:1336911858
Name:NORMAND, NICOLE A
Entity Type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:A
Last Name:NORMAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:29640 VALLE OLVERA
Mailing Address - Street 2:
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-1635
Mailing Address - Country:US
Mailing Address - Phone:951-440-4768
Mailing Address - Fax:
Practice Address - Street 1:37111 PALA TEMECULA RD
Practice Address - Street 2:
Practice Address - City:PALA
Practice Address - State:CA
Practice Address - Zip Code:92509
Practice Address - Country:US
Practice Address - Phone:858-361-9544
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-27
Last Update Date:2023-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA58232355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant