| NPI | 1568861177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLE WYMER-JENSEN President 520-827-9117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ 1415SLP) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP1245) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |