Individual
CRISTINA ALYSSA SOUQUETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2915 N 4TH ST, FLAGSTAFF, AZ 86004
(928) 779-1679
(928) 779-2822
Mailing address
2915 N 4TH ST, FLAGSTAFF, AZ 86004
(928) 779-1679
(928) 779-2822
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
40260
TX
235Z00000X
Speech-Language Pathologist
Primary
TSLP14311
AZ
Other
Enumeration date
10/23/2017
Last updated
03/15/2023
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