IndividualActive
Nicole Immediato, M.S., CCC-SLP
NPI 1013793918 · Speech-Language Pathologist · Wilmington, DE
Provider details
- NPI number
- 1013793918
- Entity type
- Individual
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Credential
- M.S., CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- O1-0001611 (DE)
Specialties & taxonomies
Speech, Language and Hearing Service Providers
Practice location
5147 W Woodmill Dr Ste 21
Wilmington, DE 19808-4067
Phone: (302) 999-0702
Approximate (ZIP-level) locationGet directions
Mailing address
16 Stonewold Way
Wilmington, DE 19807-2568
Registry dates
- Enumerated
- 2023-09-06
- Last updated
- 2023-09-06
- Certified
- 2023-09-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.