| NPI | 1255698817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON FARRELL Owner/Speech Language Pathologist 480-757-2253 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 224ZF0002X Occupational Therapy Assistant Feeding, Eating & Swallowing | |
| 225100000X Physical Therapist | |
| 225200000X Physical Therapy Assistant | |
| 2355S0801X Specialist/Technologist Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist (Licence: AZ SLP6283) | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2012-04-19 |
| Last Update Date | 2021-02-26 |