Individual
MS. SYDNEY O. HERRBOLDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SL
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-3500
Mailing address
10411 E WINDSTORM DR, TUCSON, AZ 85748-3815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0237
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800161
—
AZ
01
—
SLP0237
LICENSE NUMBER
AZ
Enumeration date
02/26/2007
Last updated
07/09/2007
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