Individual
MRS. MARYELLEN GLENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
240 W THOMAS RD, PHOENIX, AZ 85013-4407
(602) 406-3000
Mailing address
3562 N TIROL CIR, MESA, AZ 85215-4216
(480) 807-5974
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1395
AZ
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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