Individual
MRS. JOAN THELANDER-DALCERRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SPEECHLANGUAGE PATH
Contact information
Practice address
9501 E NELLIE DR, KINGMAN, AZ 86401-8917
(928) 692-0013
(928) 692-1075
Mailing address
PO BOX 25, PEACH SPRINGS, AZ 86434-0025
(928) 897-9131
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL4585
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
712366
—
AZ
01
—
SLPL4585
DEPT OF HEALTH SERVICES
AZ
Enumeration date
04/06/2007
Last updated
07/09/2007
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