Individual
THERESE ANN GIORSETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA CCC SLP
Contact information
Practice address
4000 N CUMMINGS ST, FLAGSTAFF, AZ 86004-2437
(928) 773-4140
(928) 773-4138
Mailing address
3305 N HARRIS WAY, FLAGSTAFF, AZ 86004-1727
(928) 779-3088
(928) 773-4138
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1526
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01035929
ASHA ACCOUNT NUMBER
AZ
01
—
SLP1526
SLP LICENSE NUMBER
AZ
Enumeration date
01/05/2007
Last updated
07/08/2007
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