Individual
NICOLE BALDAUF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4542 E INVERNESS AVE, MESA, AZ 85206-4619
(866) 242-2714
Mailing address
5345 E VAN BUREN ST UNIT 125, PHOENIX, AZ 85008-6730
(786) 237-4725
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP12399
AZ
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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