Individual
WANANI LARENA LEVATAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SLP-CFY
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0502
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP7090
AZ
Other
Enumeration date
01/12/2011
Last updated
10/24/2014
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