Individual
JILLIAN LEIGH MOOREHEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3700 N 24TH ST STE 130, PHOENIX, AZ 85016-6535
(602) 903-4072
Mailing address
3700 N 24TH ST STE 130, PHOENIX, AZ 85016-6535
(602) 903-4072
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP9361
AZ
Other
Enumeration date
07/31/2020
Last updated
07/31/2020
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