| Doctor Name: | JAMIE A NICHOLS |
| NPI Number: | 1477789485 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. SLP-CCC |
| License Number: | SP12646 |
| Business Practice Address: | 41689 Enterprise Cir N Suite 118 Temecula, CA - 925905630 |
| Business Phone Number: | 9515410615 |
| Business Fax Number: | 9513329498 |
| Mailing Address: | 41689 Enterprise Cir N, Suite 118 TEMECULA |
| State: | CA |
| Postal Code: | 925905630 |
| Phone Number: | 9515410615 |
| Fax Number: | 9513329498 |
| NPI Enumeration Date: | 06/04/2009 |
| NPI Last Update Date: | 02/08/2011 |
| 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 |