Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Nicole Slack

Individual provider Developmental Therapist · NPI 1821735440

Nicole Slack is a Developmental Therapist in Rochester, New York. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

175 N Winton Rd
Rochester, NY 14610-1936
Phone: (585) 697-1557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X

Record details

NPI number1821735440
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 16, 2022
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022
Mailing address175 N Winton Rd, Rochester, NY 14610-1936

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