Organization Name: | THERAPY LICENSED SERVICES INC |
NPI Number: | 1215135355 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TONYA LEE SOULES (PRESIDANT) |
Mailing Address: | 8429 E Via De Jardin Scottsdale |
State: | AZ US |
Postal Code: | 852583207 |
Phone Number: | 4806641266 |
Fax Number: | 4806641616 |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP4880 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |