Individual
NICOLE MICHELLE RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
375 S COLUMBUS DR, GILBERT, AZ 85296-2101
(480) 507-1624
Mailing address
728A S LAGO DR, APACHE JUNCTION, AZ 85120-5124
(480) 241-0788
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP16117
AZ
Other
Enumeration date
05/18/2020
Last updated
07/16/2025
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