Individual
EILEENA GAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
12995 N MARSHALL RANCH DR, GLENDALE, AZ 85304-1966
(623) 486-6450
Mailing address
6233 W BEHREND DR APT 2016, GLENDALE, AZ 85308-6926
(415) 867-1100
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP12026
AZ
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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