Individual
NICOLE RENEE CORTEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.S
Contact information
Practice address
2181 E MCDOWELL RD, PHOENIX, AZ 85006-2430
(623) 381-4670
Mailing address
2702 E FLOWER ST, PHOENIX, AZ 85016-7461
(602) 381-6000
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174396
—
AZ
Enumeration date
02/28/2007
Last updated
07/26/2007
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