Doctor Name: | MINDY JOY SANDERS |
NPI Number: | 1912123118 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., CCC-SLP |
License Number: | TSLP4498 |
Business Practice Address: | 3700 E 16th Ave Apache Junction, AZ - 852194565 |
Business Phone Number: | 4809821110 |
Business Fax Number: | |
Mailing Address: | Po Box 58, FORT THOMAS |
State: | AZ |
Postal Code: | 855360058 |
Phone Number: | 9284852983 |
Fax Number: | |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 235Z00000X |
License Number: | TSLP4498 |
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 |