Organization
EFFECTIVE THERAPY LLC
Active
Other names
Effective Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DMITRI TARTSAKOV SLP (OWNER)
(347) 781-6718
Entity
Organization
Contact information
Practice address
6131 N 27TH AVE APT 2014, PHOENIX, AZ 85017-1756
(602) 805-7305
Mailing address
6131 N 27TH AVE APT 2014, PHOENIX, AZ 85017-1756
(602) 805-7305
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/17/2022
Last updated
03/17/2022
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