Individual
MIRANDA EMMANUEL SEGOVIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
4350 E RAY RD STE 101A, PHOENIX, AZ 85044-4707
(480) 704-5954
Mailing address
850 S RIVER DR UNIT 2014, TEMPE, AZ 85281-4695
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP11792
AZ
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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