Individual
LAURA CHRISTINE BRYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
12950 W VARNEY RD, EL MIRAGE, AZ 85335-3184
(623) 876-7100
Mailing address
17219 N 184TH DR, SURPRISE, AZ 85374-3966
(928) 252-6055
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8161
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPA8161
SLPA LICENSE
AZ
Enumeration date
01/28/2013
Last updated
01/28/2013
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