Doctor Name: | MRS. BRENDA JEAN DOEKSEN |
NPI Number: | 1750392635 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. CCC-SLP |
License Number: | SLP2080 |
Business Practice Address: | 15151 W Centerra Dr S Goodyear, AZ - 853382956 |
Business Phone Number: | 6237724800 |
Business Fax Number: | |
Mailing Address: | 10943 S Dreamy Dr, GOODYEAR |
State: | AZ |
Postal Code: | 853389622 |
Phone Number: | 6233744994 |
Fax Number: | |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP2080 |
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 |