| Organization Name: | ARIZONA INSTITUTE FOR COMMUNICATION AND COGNITIVE DISORDER |
| NPI Number: | 1013134170 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARY JANE TRUNZO (CLINICAL DIRECTOR, SLP) |
| Mailing Address: | 4545 N 36th St Suite 125c Phoenix |
| State: | AZ US |
| Postal Code: | 850183462 |
| Phone Number: | 6022240202 |
| Fax Number: | 6023930141 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 11/22/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP0372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Speech, Language and Hearing Service Providers |
| Taxonomy Classification: | Speech-Language Pathologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A speech pathologist is a person qualified by a master |