NPI | 1407976905 |
---|---|
Entity Type | Organization |
Authorized Contact | PHIL JOHNSON CEO 520-529-2879 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP2034) |
Enumeration Date | 2007-03-29 |
Last Update Date | 2020-08-22 |