| NPI | 1346365947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GAIL BUTLER Owner 480-326-2619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPL5336) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPL5220) |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant (Licence: AZ SLPL5143) | |
| 2355S0801X Specialist/Technologist, Speech-Language Assistant | |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP#0373) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ TSLP#4727) | |
| 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP#1258) | |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2020-08-22 |