Individual
MRS. ANNE ELAINE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0727
(480) 472-0705
Mailing address
1407 N ALTA MESA DR, MESA, AZ 85205-4424
(480) 472-1871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0639
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
580466
—
AZ
Enumeration date
01/17/2007
Last updated
07/08/2007
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