Individual
CHARLOTTE WAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17100 E SHEA BLVD STE 600, FOUNTAIN HILLS, AZ 85268-6663
(480) 837-4565
Mailing address
3800 N 6TH AVE APT 233, PHOENIX, AZ 85013-3756
(858) 334-9584
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
PSLP9710
AZ
Other
Enumeration date
10/31/2015
Last updated
01/17/2019
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