Individual
CHRISTA DETTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4085
(623) 691-5924
Mailing address
3401 N. 67TH AVENUE, PHOENIX, AZ 85033-4517
(623) 691-4085
(623) 691-5924
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7073
AZ
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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