Individual
SAMANTHA ERVIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
3850 E BASELINE RD STE 109, MESA, AZ 85206-4403
(480) 818-4212
Mailing address
6348 E HANNIBAL ST, MESA, AZ 85205-4541
(928) 386-8164
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPA12233
AZ
Other
Enumeration date
02/25/2020
Last updated
02/25/2020
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