Individual
JAMIE SOUZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21045 N 9TH PL STE 204, PHOENIX, AZ 85024-5635
(602) 726-2300
Mailing address
21045 N 9TH PL STE 204, PHOENIX, AZ 85024-5635
(602) 726-2300
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7679
AZ
Other
Enumeration date
08/29/2012
Last updated
10/17/2023
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