Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Renee Nicole Siddell, MS, CCC-SLP

Individual provider Speech-Language Pathologist · NPI 1194953331

Renee Nicole Siddell, MS, CCC-SLP is a Speech-Language Pathologist in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2009
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.
CCC-SLP — Certificate of Clinical Competence in Speech-Language Pathology
A speech-language pathologist certified by ASHA.

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Practice location Address checks out

6330 W Thunderbird Rd
Glendale, AZ 85306-4002
Phone: (623) 486-6010
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP6247 (AZ)
Speech-Language Pathologist Taxonomy 235Z00000X · Licence TSLP6247 (AZ)

Record details

NPI number1194953331
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , CCC-SLP
Sole proprietorYes
NPI enumeratedJune 25, 2009
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026

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