Organization Name: | LENORA ANDERSON SPEECH PATHOLOGY SERVICES, INC. |
NPI Number: | 1245485630 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LENORA ANDERSON (PRESIDENT & CEO) |
Mailing Address: | 16182 W Piccadilly Rd Goodyear |
State: | AZ US |
Postal Code: | 853958082 |
Phone Number: | 6232035348 |
Fax Number: | 6235055350 |
NPI Enumeration Date: | 11/26/2008 |
NPI Last Update Date: | 06/02/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP5574 |
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 |