Individual
PATRICIA LAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-3226
Mailing address
13827 N MEDINAN DR, PHOENIX, AZ 85022-4728
(602) 439-4356
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0471
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
577851
STATE AHCCCS NUMBER
AZ
Enumeration date
02/02/2007
Last updated
07/08/2007
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