Organization
ARIZONA PEDIATRIC FEEDING & THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNIE HALLARE (CO-OWNER/CFO)
(407) 758-2333
Entity
Organization
Contact information
Practice address
10592 E FIREWHEEL DR, SCOTTSDALE, AZ 85255-1913
(407) 717-6049
Mailing address
10592 E FIREWHEEL DR, SCOTTSDALE, AZ 85255-1913
(407) 717-6049
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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