Individual
MS. ELIZABETH PERSIS DORMADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.CCC-SLP
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0727
(480) 472-0705
Mailing address
2208 N ALMOND, MESA, AZ 85213-2232
(480) 644-7850
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0517
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580515
—
AZ
Enumeration date
01/04/2007
Last updated
02/22/2008
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