MISS NICHOLE VICTORIA FREDRIKSSON ELLISON (NPI# 1588119788) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588119788 |
| Entity Type | Individual |
| Full Name | MISS NICHOLE VICTORIA FREDRIKSSON ELLISON |
| Credential | M.S. CCC-SLP |
| Practice Address |
55 Green Hill Rd Bethany CT 06524-3324 |
| Practice Telephone | 2032143030 |
| Mailing Telephone | 2032143030 |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2016-08-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 235Z00000X | Speech-Language Pathologist | 5191 | CT | Speech, Language and Hearing Service Providers |
| Street Address |
55 GREEN HILL RD |
| City | BETHANY |
| State | CT |
| Zip Code | 06524-3324 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194378323 | Brittany Varano | Dental Hygienist | 55 Sargent Dr., Bethany, CT 06524 | 2019-07-17 |
| 1366952384 | Cybil Kathleen Ryan | Social Worker | 649 Amity Rd # Uni103, Bethany, CT 06524 | 2017-10-04 |
| 1952542409 | Deborah Lynn Ellsworth | Social Worker | 649 Amity Road, Bethany, CT 06524 | 2009-03-12 |
| 1730218181 | Boaz Itshaky | Acupuncturist | 286 Beacon Rd, Bethany, CT 06524 | 2007-03-03 |
| 1881750131 | Michael Bruce Enson | Social Worker | 9 Munson Road, 2nd Floor, Bethany, CT 06524 | 2006-12-29 |
| 1043327232 | Amity Dental Care Inc | Dentist | 696 Amity Rd Ste A3, Bethany, CT 06524-3006 | 2006-08-24 |
| 1770805301 | Annette Maria Snow | Dietitian, Registered | 54 Lacey Rd, Bethany, CT 06524-3021 | 2010-02-24 |
| 1679561120 | The Bethany Volunteer Firemens Association Incorporated | Ambulance | 765 Amity Rd, Bethany, CT 06524-3028 | 2005-10-10 |
| 1538458310 | Pediatric Parenting, LLC | Nurse Practitioner | 435 Amity Rd, Bethany, CT 06524-3038 | 2011-04-01 |
| 1831639392 | Tatiana A. Goclowski | Nurse Practitioner | 187 Beacon Rd, Bethany, CT 06524-3054 | 2017-03-03 |
| Find all providers in zip 06524 | ||||
| Taxonomy Code | 235Z00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Speech-Language Pathologist |
| The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing. |
| Notes: "Scope of Practice in Speech-Language Pathology", American Speech-Language-Hearing Association, 2013. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821696980 | Cayla A White | Speech-Language Pathologist | 31 Crestwood Rd, Bethany, CT 06524-3260 | 2020-10-12 |
| 1326538786 | Lauren Danielle Skinner | Speech-Language Pathologist | 319 N Washington St, Bethany, IL 61914-8402 | 2018-05-11 |
| 1972909851 | Chelsie Wall | Speech-Language Pathologist | 1705 N Gleason Ave, Bethany, OK 73008-6149 | 2014-11-05 |
| 1154746444 | Heidi Knight | Speech-Language Pathologist | 6808 Nw 35th St, Bethany, OK 73008-3927 | 2014-02-24 |
| 1528339132 | Patti Michelle Draper | Speech-Language Pathologist | 8221 Nw 30th St, Bethany, OK 73008-4334 | 2012-01-13 |
| 1578891339 | Vicki Hunt | Speech-Language Pathologist | 4029 N Shannon Ave, Bethany, OK 73008-3062 | 2009-12-04 |
| 1639404916 | Joan L. Black | Speech-Language Pathologist | 14 Glenwood Ct, Bethany, CT 06524-3319 | 2009-10-05 |
| 1780236901 | Lauren Elizabeth Saxon | Speech-Language Pathologist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2019-07-09 |
| 1588225148 | Ryley Paige Good | Speech-Language Pathologist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2019-06-25 |
| 1710540455 | Sahar Naderpour | Speech-Language Pathologist | 6800 Nw 39th Expy, Bethany, OK 73008-2513 | 2019-04-18 |
| Find all providers in BETHANY | ||||
Please comment or provide details below to improve the information on MISS NICHOLE VICTORIA FREDRIKSSON ELLISON.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.