| NPI | 1851457642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA ANNE POGHOSSIAN Speech Language Pathologist 480-540-4289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0700X Clinic/Center, Hearing and Speech (Licence: AZ SLP4025) |
| Additional Taxonomies | 261QA3000X Clinic/Center, Augmentative Communication (Licence: AZ SLP4025) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-10-14 |