Individual
MR. JOHN VINCENT HERRERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SLPA
Contact information
Practice address
14825 N 54TH PL, SCOTTSDALE, AZ 85254-2369
(480) 242-5903
(602) 218-6462
Mailing address
21345 W ALVARADO RD, BUCKEYE, AZ 85396-2522
(623) 225-5594
Taxonomy
Speciality
Code
Description
License number
State
175L00000X
Homeopath
SLPA12216
AZ
2355S0801X
Speech-Language Assistant
Primary
SLPA12216
AZ
Other
Enumeration date
01/06/2020
Last updated
12/09/2024
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