Provider Demographics
NPI:1467689745
Name:ULEN, NICOLE ELYSE (AUD)
Entity Type:Individual
Prefix:DR
First Name:NICOLE
Middle Name:ELYSE
Last Name:ULEN
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6060 HELLYER AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95138-1046
Mailing Address - Country:US
Mailing Address - Phone:408-227-6300
Mailing Address - Fax:
Practice Address - Street 1:6060 HELLYER AVE
Practice Address - Street 2:SUITE 150
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95138-1046
Practice Address - Country:US
Practice Address - Phone:408-227-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU 2668231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist