Individual
NICOLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16232 PARKSIDE DR, PARKER, CO 80134-3744
(303) 523-9104
Mailing address
16232 PARKSIDE DR, PARKER, CO 80134-3744
(303) 523-9104
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
01075066
CO
Other
Enumeration date
03/02/2015
Last updated
03/02/2015
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