Individual
BRYCE GOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12746 W SOLEDAD ST, EL MIRAGE, AZ 85335-8230
(623) 262-0501
Mailing address
12746 W SOLEDAD ST, EL MIRAGE, AZ 85335-8230
(623) 262-0501
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPA9307
AZ
Other
Enumeration date
05/26/2015
Last updated
05/26/2015
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