Individual
NICOLE MACKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC/A
Contact information
Practice address
116 LAKE HAVASU AVE S STE 102, LAKE HAVASU CITY, AZ 86403-0811
(928) 615-1111
(928) 615-1111
Mailing address
116 LAKE HAVASU AVE S STE 102, LAKE HAVASU CITY, AZ 86403-0811
(928) 615-1111
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
002863
NY
Other
Enumeration date
12/23/2010
Last updated
06/17/2025
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