Individual
MRS. ELENA CASTILLO BOUSHLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1500 E. BROADWAY RD, 1095, TEMPE, AZ 85282
(480) 766-1743
Mailing address
1500 E. BROADWAY RD, 1095, TEMPE, AZ 85282
(480) 766-1743
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6736
AZ
Other
Enumeration date
10/15/2010
Last updated
10/15/2010
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