Individual
ALLISON THEABOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21630 N 19TH AVE STE B3, PHOENIX, AZ 85027-2717
(480) 512-9091
Mailing address
4054 E LIBRA AVE, GILBERT, AZ 85234-7542
(480) 512-9091
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12967
AZ
Other
Enumeration date
05/12/2021
Last updated
05/12/2021
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