| NPI | 1841365178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ANN FINNELL Member Manager 480-200-2937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ OT0068) |
| Additional Taxonomies | 235Z00000X Speech-Language Pathologist, (Licence: AZ SLP1507) |
| 174400000X Specialist (Licence: AZ PT 2429) | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |