Individual
MAHSA MOEENI SALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
2152 S VINEYARD STE 128, MESA, AZ 85210-6882
(480) 813-4886
Mailing address
2152 S VINEYARD STE 128, MESA, AZ 85210-6882
(480) 813-4886
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 1706
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
810764
—
AZ
Enumeration date
01/12/2009
Last updated
01/12/2009
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