| NPI | 1417724956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISYN RAE KANDYBOWICZ Owner; Speech Language Pathologist 602-284-5406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2023-12-05 |