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Individual

AVERY RYAN HANNIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SLPA

Contact information

Practice address
3406 W MALDONADO RD, PHOENIX, AZ 85041-6318
(480) 913-0053
Mailing address
1001 E PLAYA DEL NORTE DR UNIT 1219, TEMPE, AZ 85288-2179
(559) 770-7236

Taxonomy

Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA16279
AZ

Other

Enumeration date
06/07/2025
Last updated
06/07/2025
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