Individual
DIVYA DEEPAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
17110 N 50TH ST, SCOTTSDALE, AZ 85254-1408
(312) 852-1344
Mailing address
17110 N 50TH ST, SCOTTSDALE, AZ 85254-1408
(312) 852-1344
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA 10168
AZ
235Z00000X
Speech-Language Pathologist
Primary
TSLP15639
AZ
Other
Enumeration date
09/01/2016
Last updated
03/08/2025
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