Individual
MS. TERESA MARIE GARLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
6510 W REDFIELD RD, GLENDALE, AZ 85306-3754
(623) 776-9945
Mailing address
6510 W REDFIELD RD, GLENDALE, AZ 85306-3754
(623) 776-9945
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0428
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09122202
ASHA MEMBER NUMBER
AZ
01
—
SLP0428
AZ STATE LICENSE NUMBER
AZ
Enumeration date
05/03/2007
Last updated
07/08/2007
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