Provider Demographics
NPI:1720525645
Name:RASO, NICOLE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:RASO
Suffix:
Gender:
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 PLEASANT MILLS RD
Mailing Address - Street 2:
Mailing Address - City:HAMMONTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08037-8935
Mailing Address - Country:US
Mailing Address - Phone:609-742-7664
Mailing Address - Fax:
Practice Address - Street 1:650 PLEASANT MILLS RD
Practice Address - Street 2:
Practice Address - City:HAMMONTON
Practice Address - State:NJ
Practice Address - Zip Code:08037-8935
Practice Address - Country:US
Practice Address - Phone:609-742-7664
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-01-30
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist