Individual
SUSAN G TONKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 S MOUNTAIN RD, MESA, AZ 85212-7005
(480) 497-4032
Mailing address
3946 E GRAYTHORN ST, PHOENIX, AZ 85044-6632
(480) 704-5410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0166
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589666
—
AZ
Enumeration date
11/15/2006
Last updated
07/09/2007
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