Individual
MRS. NICOLE DEMARS ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
701 W WETMORE RD RM 168, AMPHITHEATER PUBLIC SCHOOLS, TUCSON, AZ 85705-1547
(520) 696-5237
(520) 696-5067
Mailing address
701 W WETMORE RD RM 168, PIMA COUNTY AMPHITHEATER SCHOOLS DBA AMPHITHEATER PUBLI, TUCSON, AZ 85705-1547
(520) 696-5237
(520) 696-5067
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6397
AZ
235Z00000X
Speech-Language Pathologist
SLPA6397
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495766
—
AZ
Enumeration date
02/03/2010
Last updated
11/21/2012
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