Individual ProviderNicole Breaux PellerinSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersPractice Address220 S Jefferson St, Abbeville, LA 70510-5906(337) 898-5816PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Breaux Pellerin does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1235218421Provider TypeIndividualFull NamePellerin, Nicole BreauxCredentialM.S., CCC-SLPGenderFemaleSole ProprietorNoEnumeration Date11/6/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address220 S Jefferson St, Abbeville, LA 70510-5906Phone(337) 898-5816FaxUnlisted FaxMailing LocationMailing Address1732 Blanchet Dr, Lafayette, LA 70501-3926PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode235Z00000XPrimaryDescriptionSpeech-Language PathologistSpeech, Language and Hearing Service ProvidersLicense4225Louisiana