Individual
LAURA JANE PRIDGEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
3205 S RURAL RD, TEMPE, AZ 85282-3853
(480) 730-7100
Mailing address
3205 S RURAL RD, TEMPE, AZ 85282-3853
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
SLP006031
GA
235Z00000X
Speech-Language Pathologist
Primary
SLP5583
AZ
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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