| NPI | 1306240817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKIE MARIE BROWN Credentialing Manager 480-560-8565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: AZ SLP7933) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 2251P0200X Physical Therapist, Pediatrics | |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2026-03-31 |