| Organization Name: | NICHOLS SPEECH, INC. |
| NPI Number: | 1093034779 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JAMIE NICHOLS (SPEECH PATHOLOGIST/OWNER) |
| Mailing Address: | 41689 Enterprise Cir N Suite 118 Temecula |
| State: | CA US |
| Postal Code: | 925905630 |
| Phone Number: | 9515410615 |
| Fax Number: | 9512961943 |
| NPI Enumeration Date: | 05/20/2010 |
| NPI Last Update Date: | 02/28/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SP12646 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |