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Individual

MRS. SANDRA DIANNE WALMSLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., CCC-SLP

Contact information

Practice address
3205 S RURAL RD, SPECIAL NEEDS DEPT., TEMPE, AZ 85282-3853
(480) 730-7100
Mailing address
2320 W CALLE IGLESIA AVE, MESA, AZ 85202-5504
(480) 345-1422

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0627
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00875120
ASHA CERTIFICATION #
AZ
Enumeration date
04/09/2007
Last updated
07/08/2007
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