Doctor Name: | SUMMER FOUSIEH ISRAWI |
NPI Number: | 1356535785 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | C.C.C. SLP |
License Number: | SLP5715 |
Business Practice Address: | 32 Spur Cir Scottsdale, AZ - 852515461 |
Business Phone Number: | 6236438877 |
Business Fax Number: | |
Mailing Address: | 8829 W Virginia Ave, PHOENIX |
State: | AZ |
Postal Code: | 850373407 |
Phone Number: | 6236438877 |
Fax Number: | |
NPI Enumeration Date: | 08/29/2007 |
NPI Last Update Date: | 05/22/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP5715 |
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 |