Organization Name: | ESSENTIAL THERAPY SOLUTIONS, LLC |
NPI Number: | 1760604557 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMBER LEE NEUBAUER (SPEECH LANGUAGE PATHOLOGIST) |
Mailing Address: | 31645 N Royal Oak Way San Tan Valley |
State: | AZ US |
Postal Code: | 851436341 |
Phone Number: | 4806673349 |
Fax Number: | 4802643800 |
NPI Enumeration Date: | 05/03/2007 |
NPI Last Update Date: | 10/30/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLPL4112 |
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 |