Individual
NOELLE M NICOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3802 N 91ST AVE, PHOENIX, AZ 85037-2368
(623) 772-2340
Mailing address
7701 E OSBORN RD, #214W, SCOTTSDALE, AZ 85251-7407
(480) 375-0145
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5512
AZ
Other
Enumeration date
02/11/2008
Last updated
02/11/2008
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