Individual
COLLEEN KICHULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC-SLP
Contact information
Practice address
785 N MONROE ST, SAN JOSE, CA 95128-1345
(408) 390-9370
Mailing address
785 N MONROE ST, SAN JOSE, CA 95128-1345
(408) 390-9370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
15771
CA
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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