Individual
HEIDI RENAE LEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4650 W SWEETWATER AVE, GLENDALE, AZ 85304-1505
(602) 347-2600
Mailing address
18002 N 78TH DR, GLENDALE, AZ 85308-8217
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP11954
AZ
Other
Enumeration date
07/30/2019
Last updated
07/12/2024
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