Individual
TERESA CARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 S CABRIO TER, MESA, AZ 85212-9671
(509) 251-0774
Mailing address
4660 S CABRIO TER, MESA, AZ 85212-9671
(509) 251-0774
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
8420934-2506
UT
235Z00000X
Speech-Language Pathologist
Primary
SLP4237
AZ
Other
Enumeration date
02/05/2009
Last updated
03/18/2020
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