Individual
MRS. LUDIE ROLAND HANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1802 W PARKSIDE LN, PHOENIX, AZ 85027-1322
(602) 622-4464
Mailing address
1802 W PARKSIDE LN, PHOENIX, AZ 85027-1322
(602) 622-4464
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
8359
CA
235Z00000X
Speech-Language Pathologist
SLP-4011
AZ
Other
Enumeration date
09/26/2005
Last updated
06/16/2020
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