Individual
MS. JACQUELINE MARY TSCHUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1016 N 32ND ST, BLDG. B, PHOENIX, AZ 85008-5107
(602) 914-1332
Mailing address
4332 W GREENWAY RD, GLENDALE, AZ 85306-3618
(602) 708-6321
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4525
AZ
Other
Enumeration date
05/17/2007
Last updated
10/05/2007
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