Kaley Jane Nicosia, | |
1800 Storey Ln, Cottage Hills, IL 62018-1346 | |
(618) 462-1031 | |
Not Available |
Full Name | Kaley Jane Nicosia |
---|---|
Gender | Female |
Speciality | Speech-language Pathologist |
Location | 1800 Storey Ln, Cottage Hills, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780454538 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 242.007629 (Illinois) | Secondary |
235Z00000X | Speech-language Pathologist | 146018172 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kaley Jane Nicosia, 914 E Penning Ave, Wood River, IL 62095-1844 Ph: (618) 530-2676 | Kaley Jane Nicosia, 1800 Storey Ln, Cottage Hills, IL 62018-1346 Ph: (618) 462-1031 |
Mallory Dugger, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1459 12th St, Cottage Hills, IL 62018 Phone: 618-558-5425 | |
Ms. Tammy M Pickerill, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1800 Storey Ln, Cottage Hills, IL 62018 Phone: 618-462-1031 Fax: 618-462-1035 |