Individual
NICOLE A KOCANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3302
(708) 979-1588
Mailing address
7820 E BASELINE RD UNIT 112, MESA, AZ 85209-5438
(708) 979-1588
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
14382786
IL
Other
Enumeration date
03/22/2023
Last updated
05/22/2025
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