Individual
DIANA L VELASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
16641 N 169TH AVE, SURPRISE, AZ 85388-1355
(623) 229-1756
Mailing address
16641 N 169TH AVE, SURPRISE, AZ 85388-1355
(623) 229-1756
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
8266
AZ
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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