Organization Name: | MD THERAPIES LLC |
NPI Number: | 1215345343 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DENNIS E BURKS (PARTNER) |
Mailing Address: | 1801 Meadowridge Rd Prescott |
State: | AZ US |
Postal Code: | 863055254 |
Phone Number: | 9289252008 |
Fax Number: | 9287769316 |
NPI Enumeration Date: | 08/01/2014 |
NPI Last Update Date: | 08/01/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | |
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 |