Organization
EVANGELINA GONZALEZ SPEECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVANGELINA GONZALEZ (SLPA)
(602) 326-2063
Entity
Organization
Contact information
Practice address
6622 W. TAYLOR ST., PHOENIX, AZ 85043-1504
(602) 326-2063
Mailing address
6622 W TAYLOR ST, PHOENIX, AZ 85043-5083
(602) 326-2063
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
SLPA9604
AZ
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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