# MICHAEL ALLEN DOUGLAS & KIMBERLI C DOUGLAS BOUNCE BACK SPEECH THERAPY

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

## Provider details

- **NPI number:** 1881894202
- **Authorized official:** KIMBERLI DOUGLAS MA, CCC-SLP (OWNER)
- **Authorized official phone:** (480) 274-3951

## Contact information

- **Practice address:** 1950 E LAFAYETTE AVE, GILBERT, AZ 85298-0821
- **Practice address phone:** (480) 274-3951
- **Practice address fax:** (480) 718-7987
- **Mailing address:** 1950 E LAFAYETTE AVE, GILBERT, AZ 85298-0821
- **Mailing address phone:** (480) 274-3951
- **Mailing address fax:** (480) 718-7987

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | SLP5027 | AZ | Yes |

## Other

- **Enumeration date:** 07/23/2007
- **Last updated:** 01/23/2013