Provider Demographics
NPI:1942678933
Name:NANCE, ALICIA COLLEEN (AUD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:COLLEEN
Last Name:NANCE
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 1:3805 E BELL RD
Mailing Address - Street 2:STE 5800
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032
Mailing Address - Country:US
Mailing Address - Phone:602-688-6500
Mailing Address - Fax:623-889-0836
Practice Address - Street 1:3805 E BELL RD
Practice Address - Street 2:STE. 5800
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032
Practice Address - Country:US
Practice Address - Phone:602-688-6500
Practice Address - Fax:236-899-0836
Is Sole Proprietor?:No
Enumeration Date:2015-09-08
Last Update Date:2018-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA9881231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist