| NPI | 1053529073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARRELL L. JENSEN Speech Pathologist 480-777-2212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP0079) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2020-08-22 |