Individual
ALLISON PATRICIA TEJADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10631 S 51ST ST STE 8, PHOENIX, AZ 85044-5225
(602) 616-1899
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA10823
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2355S0801X
—
AZ
Enumeration date
10/11/2017
Last updated
10/11/2017
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