Individual
MS. LA PIETRA GERALYN LA PIETRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
41228 N YORKTOWN TRL, ANTHEM, AZ 85086-4908
(623) 521-4316
Mailing address
41228 N YORKTOWN TRL, ANTHEM, AZ 85086-4908
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0650
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SLP0650
—
AZ
Enumeration date
05/11/2007
Last updated
07/09/2007
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