Individual
LISA MARIE MATHIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8115 E INDIAN BEND RD, SUITE 123, SCOTTSDALE, AZ 85250-4819
(480) 951-6451
(480) 951-6464
Mailing address
5302 E VAN BUREN ST, APARTMENT 3009, PHOENIX, AZ 85008-7965
(602) 751-4180
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5544
AZ
Other
Enumeration date
08/08/2007
Last updated
08/08/2007
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