Organization Name: | STUTTERING AND SPEECH THERAPY OF ARIZONA, LLC |
NPI Number: | 1538520978 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JESSICA L HUDSON (SPEECH LANGUAGE PATHOLOGIST, OWNER) |
Mailing Address: | 3303 E Baseline Rd Bldg 5, Ste 109 Gilbert |
State: | AZ US |
Postal Code: | 852342738 |
Phone Number: | 4807196535 |
Fax Number: | |
NPI Enumeration Date: | 03/13/2016 |
NPI Last Update Date: | 03/13/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP8510 |
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 |