Provider Demographics
NPI:1528351830
Name:MURPHY, NICOLE (CCC-SLP)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:MURPHY
Suffix:
Gender:F
Credentials:CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:500 W PLUMB LN STE B-173
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-3796
Mailing Address - Country:US
Mailing Address - Phone:775-464-1281
Mailing Address - Fax:775-464-1415
Practice Address - Street 1:1703 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-3409
Practice Address - Country:US
Practice Address - Phone:775-464-1281
Practice Address - Fax:775-464-1415
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVSP-1306235Z00000X
NVSP1306235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist