Individual
JENNIFER FAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 S GILBERT RD, GILBERT, AZ 85296-1016
(480) 507-1359
Mailing address
11444 E DECATUR ST, MESA, AZ 85207-2340
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP2191
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758047
—
AZ
Enumeration date
11/16/2006
Last updated
07/08/2007
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