Individual
ELIZABETH M CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
125 E ELM AVE STE 103, FLAGSTAFF, AZ 86001-3258
(928) 779-1679
(928) 779-2822
Mailing address
1927 N MEADOW LARK DR, FLAGSTAFF, AZ 86001-1330
(928) 253-9581
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP 5061
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12128791
ASHA CERTIFICATION NUMBER
AZ
05
—
125667
—
AZ
01
—
TSLP 5061
HEALTH DEPT CERT
AZ
Enumeration date
01/22/2007
Last updated
07/09/2007
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