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Individual

MR. MATTHEW BLAINE HIGHFILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., CCC-SLP

Contact information

Practice address
6233 W BEHREND DR, #2048, GLENDALE, AZ 85308-6970
(623) 698-4089
Mailing address
6233 W BEHREND DR, #2048, GLENDALE, AZ 85308-6970
(623) 698-4089

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5126
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
146246
AZ
Enumeration date
03/29/2007
Last updated
07/09/2007
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