NPI | 1104328491 |
---|---|
Entity Type | Organization |
Authorized Contact | CHAROLETTE E VALDIZAN Owner 623-363-1533 |
Organization Subpart ? | Yes |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP6845) |
Enumeration Date | 2018-03-02 |
Last Update Date | 2018-03-02 |