Whalio Doctors

NPI 1003123449

Kristine B Nichols

Practitioner Speech-Language Assistant Phoenix, AZ

Practice location

Address
20402 N 15th Ave, Phoenix, AZ 85027-3636
Phone
(623) 445-4952
Fax
(623) 445-5079

Registered specialties

Speech-Language Assistant Primary
Speech, Language and Hearing Service Providers Taxonomy 2355S0801X Licence SLPA6911 (AZ)

Registry record

NPI
1003123449
Entity type
Individual
Sex (as registered)
Female
NPI issued
7 Sep 2010
Record last updated
7 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.