Nicole Marie Moore Perullo, MSCCC-SLP
Nicole Marie Moore Perullo, MSCCC-SLP is a Speech-Language Pathologist in Bend, Oregon. Practices as a sole proprietor. Licensed in Oregon.
- Licensed in
- OR
- In the registry since
- 2024
Practice location Address checks out
2248 NW Lemhi Pass DrBend, OR 97703-6701
Phone: (415) 497-8150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Speech-Language Pathologist (primary) | Taxonomy 235Z00000X · Licence 17418 (OR) |
|---|
Record details
| NPI number | 1518787886 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSCCC-SLP |
| Sole proprietor | Yes |
| NPI enumerated | October 11, 2024 |
| Last updated in NPPES | October 11, 2024 |
| Certification date | October 11, 2024 |
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