Organization
SPEECH CENTER OF SOUTHERN ARIZONA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE HANSEN M.A., CCC-SLP (SPEECH LANGUAGE PATHOLOGIST)
(520) 721-4544
Entity
Organization
Contact information
Practice address
1860 E RIVER RD, SUITE 112, TUCSON, AZ 85718-5993
(520) 721-4544
Mailing address
1860 E RIVER RD, SUITE 112, TUCSON, AZ 85718-5993
(520) 721-4544
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
00000174
AZ
235Z00000X
Speech-Language Pathologist
Primary
00135236
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104114842
NPI - CHRISTINE BUTALLA
AZ
05
—
115742
—
AZ
01
—
1386080281
NPI - NANCY TURMAN
AZ
01
—
1386788016
NPI-DIANE HANSEN
—
05
—
144725
—
AZ
Enumeration date
06/04/2007
Last updated
11/14/2013
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