Raluca Madalina Nicodim
Raluca Madalina Nicodim is a Qualified Speech Language Pathologist in Wake Forest, North Carolina. Qualified in 2016, 10 years ago. Practices with Peak Performance Sports and Physical Therapy LLC, a 61-clinician group and accepts Medicare assignment. Licensed in California and North Carolina.
- Years since qualifying
- 10
- Licensed in
- CA, NC
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
900 S Franklin St Ste 201Wake Forest, NC 27587-2799
Phone: (919) 556-1700
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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 15133 (NC) |
|---|---|
| Speech-Language Assistant | Taxonomy 2355S0801X · Licence 1938 (CA) |
Record details
| NPI number | 1457748337 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 18, 2015 |
| Last updated in NPPES | August 15, 2023 |
| Certification date | August 15, 2023 |
Medicare enrollment
| Medicare specialty | QUALIFIED SPEECH LANGUAGE PATHOLOGIST |
|---|---|
| Medical school | OTHER |
| Graduated | 2016 (10 years in practice) |
| Group practice | Peak Performance Sports And Physical Therapy Llc — 61 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |