Individual
DR. NICOLE KAYE WHITTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D., CCC-A
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
27000 W LUGONIA AVE APT 12305, REDLANDS, CA 92374-2099
(208) 571-1249
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU3501
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14340623
AMERICAN SPEECH-LANGUAGE-HEARING ASSOCIATION
OR
01
—
AU3501
CALIFORNIA SPEECH-LANGUAGE PATHOLOGY & AUDIOLOGY & HEARING AID DISPENSERS BOARD
CA
Enumeration date
05/26/2020
Last updated
11/27/2023
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