| Mrs Nicole Marie Terado, MA CCC-SLP | |
|
12401 Gayton Rd, Richmond, VA 23238-2291 | |
| (804) 741-1011 | |
| Not Available |
| Full Name | Mrs Nicole Marie Terado |
|---|---|
| Gender | Female |
| Speciality | Speech-language Pathologist |
| Location | 12401 Gayton Rd, Richmond, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962002949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 41YS00739700 (New Jersey) | Secondary |
| 235Z00000X | Speech-language Pathologist | 2202009612 (Virginia) | Primary |
| Provider Name | Legacy Healthcare Services Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1740820828 PECOS PAC ID: 2163339722 Enrollment ID: O20200313002051 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Nicole Marie Terado, MA CCC-SLP 115 Old Short Hills Rd Apt 453, West Orange, NJ 07052-1032 Ph: () - | Mrs Nicole Marie Terado, MA CCC-SLP 12401 Gayton Rd, Richmond, VA 23238-2291 Ph: (804) 741-1011 |
Holly Herriger, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Westbrook Ave, Richmond, VA 23227 Phone: 732-861-9541 | |
Ms. Nancy Williams Farrell, M.S. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Meriwether Ave, Richmond, VA 23222 Phone: 804-228-2720 | |
Mrs. Jaclyn Renae Melson, MS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1201 Broad Rock Blvd Bldg 514, Richmond, VA 23224 Phone: 804-675-5000 | |
Holli Christine Eimer, M.S. CF-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3909 Austin Ave, Richmond, VA 23222 Phone: 804-228-2725 | |
Paige Parker, M.S., CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 4840 Waller Rd Ste 200, Richmond, VA 23230 Phone: 804-893-5010 | |
Ms. Janai Cassandra Jackson, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1901 Charles St, Richmond, VA 23226 Phone: 804-673-3775 | |
Ms. Michele Hiatt Bartz, M.A. CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2924 Brook Rd, Richmond, VA 23220 Phone: 804-321-7474 |