Individual provider · Type 1 NPI

Nicole Lee Ambrose

Speech-Language Pathologist · Staten Island, NY

NPI number 1003169095 Active

Practice location

1000 South Avenue
Staten Island, NY 10314-3409

Fax (718) 761-1643

Mailing address

350 Richmond Ter Apt 3C
Staten Island, NY 10301-1518

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000X021832 (NY)

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1003169095

Nicole Lee Ambrose's National Provider Identifier is 1003169095, issued on Oct 16, 2012. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Staten Island, NY. The record was last updated on Jun 3, 2020.