NPI | 1639292634 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANI LAZELL DEAN President Treasurer 520-298-7883 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP0451) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2011-03-15 |