| Doctor Name: | CHRISTINA JENNIFER DEMICHELE |
| NPI Number: | 1114212248 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. CCC-SLP |
| License Number: | SLP6849 |
| Business Practice Address: | 3013 N 67th Pl Suite 101 Scottsdale, AZ - 852516097 |
| Business Phone Number: | 4802479190 |
| Business Fax Number: | 4802479718 |
| Mailing Address: | 3013 N 67th Pl, Suite 101 SCOTTSDALE |
| State: | AZ |
| Postal Code: | 852516097 |
| Phone Number: | 4802479190 |
| Fax Number: | 4802479718 |
| NPI Enumeration Date: | 06/16/2011 |
| NPI Last Update Date: | 03/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 235Z00000X |
| License Number: | SLP6849 |
| 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 |