Individual
ALICE NICHOLLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., SLP-CF
Contact information
Practice address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1320
Mailing address
975 SERENO DR, VALLEJO, CA 94589-2441
(707) 651-1320
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
12/02/2018
Last updated
12/02/2018
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