| 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 |