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Speech, Language and Hearing Service Providers Speech-Language Pathologist

Provider NPI: 1326575283

Provider Information:
Gender: F
Not Sole Proprietor

Practice Location:
5516 S FORT APACHE RD STE 130  LAS VEGAS, NV 89148-7679 US
Tel: 702-641-8255  Fax: --

Business Mailing Address:
43089 E BIG MCDONALD DR  DENT, MN 56528-9134 US
Tel: 907-414-7058  Fax: --

NPI Information:
NPI: 1326575283
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 235Z00000X





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