Individual
DORATHEA LORRAINE REYNOLDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 S BASHA RD, CHANDLER, AZ 85248-4901
(602) 578-3932
Mailing address
3680 S ACACIA DR, CHANDLER, AZ 85248-4106
(602) 578-3932
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA9776
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP14984
AZ
Other
Enumeration date
03/17/2016
Last updated
02/01/2024
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