Individual
LISA ANN ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
2850 N 24TH STREET, PHOENIX, AZ 85021
(602) 266-5976
Mailing address
7105 N 23RD AVENUE, PHOENIX, AZ 85021
(602) 841-3930
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0378
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
802026
AHCCCS
AZ
Enumeration date
01/31/2007
Last updated
07/08/2007
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