Organization
ARIZONA SPEECH PATHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRISH J NEDBERG MS CCC SLP (OWNER)
(480) 451-7226
Entity
Organization
Contact information
Practice address
2435 E SOUTHERN AVE STE 7, TEMPE, AZ 85282-7628
(480) 451-7226
Mailing address
2435 E SOUTHERN AVE STE 7, TEMPE, AZ 85282-7628
(480) 451-7226
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
E2106133
AZ
251E00000X
Home Health Agency
E2106133
AZ
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
401703
—
AZ
Enumeration date
08/04/2009
Last updated
08/04/2009
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