Individual
MRS. SIU TIAN PHUONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
16020 W SHERMAN ST., GOODYEAR, AZ 85338
(623) 451-2902
(623) 925-8088
Mailing address
16020 W SHERMAN ST, GOODYEAR, AZ 85338-2824
(623) 451-2902
(623) 925-8088
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6591
AZ
Other
Enumeration date
08/27/2010
Last updated
08/27/2010
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