Provider Demographics
NPI:1699945188
Name:DABBS, NICOLE LEIGH (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:LEIGH
Last Name:DABBS
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:NICOLE
Other - Middle Name:LEIGH
Other - Last Name:JARMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS CCC-SLP
Mailing Address - Street 1:6857 SEACOAST DR
Mailing Address - Street 2:
Mailing Address - City:GRAND PRAIRIE
Mailing Address - State:TX
Mailing Address - Zip Code:75054-6828
Mailing Address - Country:US
Mailing Address - Phone:915-276-5866
Mailing Address - Fax:
Practice Address - Street 1:1016 MAGNOLIA ST
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-1745
Practice Address - Country:US
Practice Address - Phone:817-299-4300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-11
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX103352235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist