Individual
LESLIE ANN SHUBAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
410 CAMP LINCOLN RD, CAMP VERDE, AZ 86322-7494
(928) 567-8008
Mailing address
844 W SIMONTON PKWY, CAMP VERDE, AZ 86322-4930
(708) 724-2201
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA10498
AZ
235Z00000X
Speech-Language Pathologist
SLP16965
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP15901
AZ
Other
Enumeration date
10/20/2022
Last updated
02/02/2026
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