Individual
VANESSA MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21045 N 9TH PL STE 204, PHOENIX, AZ 85024-5635
(602) 726-2300
Mailing address
3547 E MONTECITO AVE APT 6, PHOENIX, AZ 85018-3942
(480) 738-8018
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15912
AZ
Other
Enumeration date
02/10/2025
Last updated
02/10/2025
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