| 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 |