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Shannon Alyse Nikula, SLP-A
Speech-Language Assistant in Queen Creek, Arizona
NPI 1508323510

Shannon Alyse Nikula is a Speech-Language Assistant based in Queen Creek, AZ and is specialized in Speech-Language Assistant. Shannon Alyse Nikula practices in Queen Creek, AZ and has the professional credentials of SLP-A. The NPI Number for Shannon Alyse Nikula is 1508323510 and holds a License No. SLPA11256 (Arizona).

The current practice location address for Shannon Alyse Nikula is 21168 E Tierra Grande Dr, Queen Creek, AZ and can be reached out via phone at 702-817-3160.

Location: 21168 E Tierra Grande Dr, Queen Creek, AZ, 85142-6767
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Provider Profile Details
NPI Number
1508323510
Provider Name
Shannon Alyse Nikula
Credential
SLP-A
Provider Entity Type
Individual
Gender
Female
Address
21168 E Tierra Grande Dr, Queen Creek, AZ, 85142-6767
Phone Number
702-817-3160
Fax Number
Provider Enumeration Date
02/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D10928623 01 AZ ARIZONA DRIVER'S LICENSE
institution
Provider Business Practice Location Address Details
Address
21168 E Tierra Grande Dr
City
State
Zip
85142-6767
Phone Number
702-817-3160
Fax Number
person
Provider Business Mailing Address Details
Address
21168 E Tierra Grande Dr
City
State
Zip
85142-6767
Phone Number
702-817-3160
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
SLPA11256 (Arizona)
Definition
Definition to come...
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