Individual
RENEE NICOLE SIDDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6010
Mailing address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6247
AZ
235Z00000X
Speech-Language Pathologist
TSLP6247
AZ
Other
Enumeration date
06/25/2009
Last updated
07/29/2026
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