Doctor Name: | MS. PAULA ANNE NUTTALL |
NPI Number: | 1871719039 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | SLP5447 |
Business Practice Address: | 5225 E Buena School Blvd Sierra Vista, AZ - 856352392 |
Business Phone Number: | 5205152800 |
Business Fax Number: | |
Mailing Address: | 2920 Central Park Dr, SIERRA VISTA |
State: | AZ |
Postal Code: | 856355107 |
Phone Number: | 5204592268 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | SLP5447 |
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 |