# ESTRELLA THERAPY SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487823514
- **Authorized official:** JENNIFER JO SEVERSON M.S. CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
- **Authorized official phone:** (623) 256-6572

## Contact information

- **Practice address:** 18442 W SWEET ACACIA DR, GOODYEAR, AZ 85338-5296
- **Practice address phone:** (623) 256-6572
- **Mailing address:** 18442 W SWEET ACACIA DR, GOODYEAR, AZ 85338-5296
- **Mailing address phone:** (623) 256-6572

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | SLP5154 | AZ | Yes |

## Other

- **Enumeration date:** 02/22/2008
- **Last updated:** 02/22/2008