Organization
STUDENT THERAPIES AND RESOURCE SERVICES
Active
Other names
STARS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RANDY PAULSEN (CFO/OWNER)
(480) 837-4565
Entity
Organization
Contact information
Practice address
16428 E KINGSTREE BLVD, FOUNTAIN HILLS, AZ 85268-5440
(480) 837-4565
(480) 836-1992
Mailing address
16428 E KINGSTREE BLVD, FOUNTAIN HILLS, AZ 85268-5440
(480) 837-4565
(480) 836-1992
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5991
AZ
Other
Enumeration date
11/25/2008
Last updated
11/25/2008
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