NPI 1073078689

Jacqueline Nickel, MSCCCSLP

Practitioner Speech-Language Pathologist Mt Pleasant, SC

Practice location

Address: 3100 Tradition Cir, Mt Pleasant, SC 29466-7200
Phone: (843) 654-7945
Fax: (317) 884-3388
Mailing address: 2567 Kingsfield St, Mount Pleasant, SC 29466-7251

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 6765 (SC)

Other Speech-Language Pathologist providers in South Carolina →

Registry record

NPI: 1073078689
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Feb 2019
Record last updated: 7 Feb 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.