Provider Demographics
NPI:1861103954
Name:TROENDLE, NICOLE (MS CCC-SLP)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:
Last Name:TROENDLE
Suffix:
Gender:F
Credentials:MS CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:160 BRIARCLIFF DR
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR TWP
Mailing Address - State:NJ
Mailing Address - Zip Code:08234-8206
Mailing Address - Country:US
Mailing Address - Phone:908-309-9883
Mailing Address - Fax:
Practice Address - Street 1:160 BRIARCLIFF DR
Practice Address - Street 2:
Practice Address - City:EGG HARBOR TWP
Practice Address - State:NJ
Practice Address - Zip Code:08234-8206
Practice Address - Country:US
Practice Address - Phone:908-309-9883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-12-08
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ41YS00566900235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist