| NPI | 1063638344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEAH JOHANNA MARTIN Speech Language Pathologist 480-821-2789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP1498) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |