| 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 |