Individual
MS. MARY MARTHA MEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
(623) 876-7131
Mailing address
15802 N PARKVIEW PL, SURPRISE, AZ 85374-7466
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
#SLPA6396
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP8523
AZ
Other
Enumeration date
01/15/2010
Last updated
09/04/2013
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