Individual
NICOLE BOULANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CFY-SLP
Contact information
Practice address
6865 E BECKER LN STE 101, SCOTTSDALE, AZ 85254-6730
(480) 991-6560
Mailing address
6865 E BECKER LN STE 101, SCOTTSDALE, AZ 85254-6730
(480) 991-6560
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP6154
AZ
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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