Organization
SPEAKN UP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SONDRA J BISTLINE MS, CCC-SLP (OWNER)
(928) 606-3565
Entity
Organization
Contact information
Practice address
45 N FIRST EAST ST, FREDONIA, AZ 86022-0079
(928) 606-3565
(928) 643-6554
Mailing address
PO BOX 843, FREDONIA, AZ 86022-0843
(928) 606-3565
(928) 643-6554
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
04/22/2020
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