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Individual

RACHEL DIANE LOZANO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.S.,CCC-SLP

Contact information

Practice address
3461 E RIOPELLE AVE, GILBERT, AZ 85298-9107
(480) 629-5911
(480) 696-4945
Mailing address
3461 E RIOPELLE AVE, GILBERT, AZ 85298-9107
(480) 629-5911
(480) 696-4945

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
11375
CA
235Z00000X
Speech-Language Pathologist
Primary
4205
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
09128011
ASHA
01
11375
SLP LICENSE
CA
01
4205
SLP LICENSE
AZ
Enumeration date
01/12/2007
Last updated
08/06/2013
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