Individual
NIKOL L HANSON BOOTHE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
15640 N 7TH ST, PHOENIX, AZ 85022-3512
(602) 439-3800
Mailing address
3919 E WALLER LN, PHOENIX, AZ 85050-4914
(480) 584-3923
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1740
AZ
Other
Enumeration date
07/31/2008
Last updated
07/31/2008
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