Individual
MS. ERICA GRACE NICHOLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9606 TIERRA GRANDE ST, SUITE 107, SAN DIEGO, CA 92126-6501
(858) 695-9415
(858) 695-9412
Mailing address
9606 TIERRA GRANDE ST, SUITE 107, SAN DIEGO, CA 92126-6501
(858) 695-9415
(858) 695-9412
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SP23297
CA
Other
Enumeration date
09/01/2015
Last updated
04/15/2016
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