Individual
SHIRLEY RHEA GONZALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3348 W MCDOWELL RD, PHOENIX, AZ 85009-2416
(602) 455-6700
Mailing address
2101 W COLTER ST UNIT 107, PHOENIX, AZ 85015-2832
(602) 442-4800
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0946
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
585284
AHCCCS ID
AZ
Enumeration date
02/20/2007
Last updated
07/08/2007
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