Individual
BEVERLY ANN DECKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3145 E CHANDLER BLVD STE 110, PHOENIX, AZ 85048-8702
(480) 374-4341
Mailing address
15196 W FILLMORE ST, GOODYEAR, AZ 85338-4124
(623) 932-9028
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA11023
AZ
Other
Enumeration date
01/25/2018
Last updated
01/25/2018
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