Individual
CAITLYN RENEE MCNICHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10631 S 51ST ST STE 1, PHOENIX, AZ 85044-5225
(480) 398-4280
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
(480) 398-4280
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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