Doctor Name: | MRS. GRACE MARY FLICKER |
NPI Number: | 1568653251 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS/SLP/ECE |
License Number: | #SLPL0571 |
Business Practice Address: | 8501 E Yavapai Rd Yavapai Co. - Esa Prescott Valley, AZ - 863148622 |
Business Phone Number: | 9287713544 |
Business Fax Number: | 9287713549 |
Mailing Address: | Po Box 26326, Yavapai Co. - Esa PRESCOTT VALLEY |
State: | AZ |
Postal Code: | 863126326 |
Phone Number: | 9287713544 |
Fax Number: | 9287713549 |
NPI Enumeration Date: | 08/07/2007 |
NPI Last Update Date: | 08/07/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | #SLPL0571 |
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 |