Individual
JORDAN TIERNEY SPOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5332 E BASELINE RD APT 2058, MESA, AZ 85206-4731
(480) 324-6466
Mailing address
5332 E BASELINE RD APT 2058, MESA, AZ 85206-4731
(480) 324-6466
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
03/16/2009
Last updated
03/16/2009
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