Individual
JASMIN CARRILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
25615 N RANCH GATE RD, SCOTTSDALE, AZ 85255-2141
(323) 434-4718
Mailing address
4637 N. 29TH AVE, PHOENIX, AZ 85017
(323) 434-4718
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP9286
AZ
Other
Enumeration date
07/17/2015
Last updated
06/03/2023
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