Organization
SUPERIOR SPEECH AND LANGUAGE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CANDICE GIBBONS BOND CCC-SLP (SPEECH-LANGUAGE PATHOLOGIST)
(928) 243-5137
Entity
Organization
Contact information
Practice address
240 N 9TH W, SAINT JOHNS, AZ 85936-4562
(928) 243-5137
Mailing address
PO BOX 2011, SAINT JOHNS, AZ 85936-2011
(928) 243-5137
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518196682
—
AZ
Enumeration date
11/15/2021
Last updated
11/15/2021
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