IndividualActive
Nicole Spear, CCC-SLP
NPI 1417505306 · Lactation Consultant (Non-RN) · Newark, TX
Provider details
- NPI number
- 1417505306
- Entity type
- Individual
- Primary specialty
- Lactation Consultant (Non-RN)Other Service Providers
- Credential
- CCC-SLP
- Sex
- Female
- Sole proprietor
- No
- License
- 364000 (TX)
Specialties & taxonomies
Other Service Providers
Speech, Language and Hearing Service Providers
Practice location
14517 Meadowland Cir
Newark, TX 76071-9103
Phone: (817) 381-8272
Approximate (ZIP-level) locationGet directions
Mailing address
4108 Ainsly Ln
Fort Worth, TX 76244-6325
Registry dates
- Enumerated
- 2019-09-03
- Last updated
- 2026-04-25
- Certified
- 2026-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.