Organization Name: | LIO MANA'OLANA THERAPY, LLC |
NPI Number: | 1730364951 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VICKI ANNE SLOCUM (OWNER) |
Mailing Address: | 22807 S Recker Rd Gilbert |
State: | AZ US |
Postal Code: | 852988936 |
Phone Number: | 6027434174 |
Fax Number: | 4809882453 |
NPI Enumeration Date: | 01/07/2008 |
NPI Last Update Date: | 01/07/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP0865 |
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 |