Individual
LISA MARIE HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,CCC/SLP
Contact information
Practice address
5345 E MCLELLAN RD UNIT 98, MESA, AZ 85205-3461
(602) 743-8645
Mailing address
5345 E MCLELLAN RD UNIT 98, MESA, AZ 85205-3461
(602) 743-8645
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1905
AZ
Other
Enumeration date
07/06/2008
Last updated
07/06/2008
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