Healthcare Provider Details

I. General information

NPI: 1831822030
Provider Name (Legal Business Name): NICOLE SATTLER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2022
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8840 N MAGNOLIA AVE STE 220
SANTEE CA
92071-4516
US

IV. Provider business mailing address

40889 ROBARDS WAY
MURRIETA CA
92562-6008
US

V. Phone/Fax

Practice location:
  • Phone: 619-749-7059
  • Fax:
Mailing address:
  • Phone: 951-704-9492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number16803
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: