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Lisa Nickle
Speech-Language Assistant in Yuma, Arizona
NPI 1831525351

Lisa Nickle is a Speech-Language Assistant based in Yuma, AZ and is specialized in Speech-Language Assistant. Lisa Nickle practices in Yuma, AZ. The NPI Number for Lisa Nickle is 1831525351 and holds a License No. SLPA8559 (Arizona).

The current practice location address for Lisa Nickle is 450 W 6Th St, Yuma, AZ and can be reached out via phone at 928-502-4399.

Location: 450 W 6Th St, Yuma, AZ, 85364-2973
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831525351
Provider Name
Lisa Nickle
Credential
Provider Entity Type
Individual
Gender
Female
Address
450 W 6Th St, Yuma, AZ, 85364-2973
Phone Number
928-502-4399
Fax Number
Provider Enumeration Date
09/16/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
010920614 05 AZ
institution
Provider Business Practice Location Address Details
Address
450 W 6Th St
City
Yuma
State
Arizona
Zip
85364-2973
Phone Number
928-502-4399
Fax Number
person
Provider Business Mailing Address Details
Address
450 W 6Th St
City
Yuma
State
Arizona
Zip
85364-2973
Phone Number
928-502-4399
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
SLPA8559 (Arizona)
Definition
Definition to come...
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