| Nicole Rose Immediato, MS, CCC-SLP | |
| 5147 W Woodmill Dr Ste 21, Wilmington, DE 19808-4067 | |
| (302) 999-0702 | |
| Not Available | 
| Full Name | Nicole Rose Immediato | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 5147 W Woodmill Dr Ste 21, Wilmington, Delaware | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1013793918 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | O1-0001611 (Delaware) | Primary | 
| Provider Name | The Speech Clinic, Inc | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1316655855 PECOS PAC ID: 3375984875 Enrollment ID: O20240515002270 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Nicole Rose Immediato, MS, CCC-SLP 16 Stonewold Way, Wilmington, DE 19807-2568 Ph: () - | Nicole Rose Immediato, MS, CCC-SLP 5147 W Woodmill Dr Ste 21, Wilmington, DE 19808-4067 Ph: (302) 999-0702 | 
| Allyson Jane Menard, SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1600 Rockland Rd, Wilmington, DE 19803 Phone: 302-651-4200 Fax: 610-302-5618 | |
| Elizabeth Golian Mccormick,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 301 Mckennans Church Rd, Wilmington, DE 19808 Phone: 302-992-5520 | |
| Karen A Jarosz-iler, SLP Speech-Language Pathologist Medicare: Accepting Medicare Assignments Practice Location: 43 Weilers Bnd, Wilmington, DE 19810 Phone: 518-479-7293 | |
| Ashley Underwood, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1500 Spruce Ave Ofc, Red Clay Consolidated School District, Wilmington, DE 19805 Phone: 302-552-3797 | |
| Kathryn Mahoney,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 700 N Lombard St, Wilmington, DE 19801 Phone: 302-429-4102 | |
| Kalisandra G Bussey,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 2000 Pennsylvania Ave Apt 436, Wilmington, DE 19806 Phone: 732-904-1886 |