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Colleen Kichula, MS,CCC-SLP

Speech-Language Pathologist, in San Jose, CA. Individual provider (NPI-1).

NPI number1982000725
StatusActive
Last updated in NPPESNov 6, 2014

Details

NPI
1982000725
Entity type
Individual (NPI-1)
Name
Colleen Kichula
Credential
MS,CCC-SLP
Sex
Female
Sole proprietor
Yes
Enumeration date
Nov 6, 2014
Last updated
Nov 6, 2014

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,15771CAYes

Practice location

785 N Monroe St
San Jose, CA 95128-1345

Phone 408-390-9370

Mailing address

785 N Monroe St
San Jose, CA 95128-1345

Phone 408-390-9370

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