Individual
MS. COLLEEN M WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
811 N 13TH ST, PHOENIX, AZ 85006-3400
(602) 523-8715
Mailing address
4215 N DRINKWATER BLVD APT 272, SCOTTSDALE, AZ 85251-3958
(602) 523-8715
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
#SLPL5214
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145954
—
AR
Enumeration date
03/02/2007
Last updated
07/09/2007
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