NPI | 1811286230 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIZABETH PETRISSANS Speech Language Pathologist 602-614-2255 |
Organization Subpart ? | No |
Primary Taxonomy | 235Z00000X Speech-Language Pathologist (Licence: AZ SLP6117) |
Enumeration Date | 2011-04-06 |
Last Update Date | 2011-04-06 |