Individual
NICOLE TIRRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP16546
Contact information
Practice address
63 E MAIN ST, MESA, AZ 85201-7417
(480) 472-5395
Mailing address
4338 E SANDIA ST, PHOENIX, AZ 85044-3947
(480) 773-5974
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP16546
AZ
Other
Enumeration date
03/30/2018
Last updated
08/25/2025
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