Organization
NAU IHD ASSISTIVE TECHNOLOGY CENTER
Active
Parent organization
ARIZONA BOARD OF REGENTS FOR AND ON BEHALF OF NORTHERN ARIZONA UNIVERS
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA BOARD OF REGENTS FOR AND ON BEHALF OF NORTHERN ARIZONA UNIVERS
Authorized official
MS. WILMA G ENNENGA BA MA ABD (DIRECTOR OFFICE OF GRANT AND CONTRA)
(928) 523-4880
Entity
Organization
Contact information
Practice address
BUILDING 27A RIORDAN ROAD, FLAGSTAFF, AZ 86001
(928) 523-5878
(928) 523-4953
Mailing address
BOX 5630, FLAGSTAFF, AZ 86011-5630
(928) 523-5878
(928) 523-4953
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
725806
—
AZ
Enumeration date
01/11/2008
Last updated
07/09/2008
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