Organization
CASA SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EBONY GREEN M.S., CCC-SLP (OWNER)
(210) 701-4806
Entity
Organization
Contact information
Practice address
501 W RAY RD STE 1-2, CHANDLER, AZ 85225-7284
(480) 296-2363
(480) 685-9875
Mailing address
1909 E RAY RD STE 9-244, CHANDLER, AZ 85225-8724
(480) 382-6618
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
261QH0700X
Hearing and Speech Clinic/Center
Primary
—
—
Other
Enumeration date
12/04/2018
Last updated
08/27/2021
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