Organization Name: | SURPRISE SPEECH THERAPY |
NPI Number: | 1518119577 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MAI LING CHAN (DIRECTOR) |
Mailing Address: | 15315 W Pershing St Surprise |
State: | AZ US |
Postal Code: | 853798159 |
Phone Number: | 6235210571 |
Fax Number: | |
NPI Enumeration Date: | 10/21/2008 |
NPI Last Update Date: | 10/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP5051 |
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 |