Individual
SAMANTHA CARBAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Mailing address
28425 N BLACK CANYON HWY UNIT 3078, PHOENIX, AZ 85085-7620
(269) 815-2010
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP9237
AZ
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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