Individual
MS. NICHOLE WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7572 W SPUR DR, PEORIA, AZ 85383-6210
(480) 319-0347
Mailing address
7572 W SPUR DR, PEORIA, AZ 85383-6210
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPL6083
AZ
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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