Individual
BROOKE VAN REGENMORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
11445 E VIA LINDA, SCOTTSDALE, AZ 85259-2655
(602) 403-5220
Mailing address
11445 E VIA LINDA STE 2235, SCOTTSDALE, AZ 85259-2655
(602) 403-5220
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP12433
AZ
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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