Individual
MRS. PRISCILLA WAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8621 N 3RD ST, PHOENIX, AZ 85020-3113
(602) 347-4051
Mailing address
525 W MOON VALLEY DR, PHOENIX, AZ 85023-6230
(602) 866-8173
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0011
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578605424
—
AZ
Enumeration date
03/12/2007
Last updated
07/09/2007
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