| NPI | 1932315348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN BLAIR Speech Language Pathologist 623-875-0419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: AZ slp1493) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |