Individual
MISS LAUREL KATHLEEN BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8505 E VALLEY VIEW RD, SCOTTSDALE UNIFIED SCHOOL DISTRICT, SCOTTSDALE, AZ 85250
(480) 484-5077
Mailing address
PO BOX 15634, PHOENIX, AZ 85060-5634
(480) 620-2080
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4508
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12088727
ASHA
—
05
—
893059
—
AZ
01
—
SLP4508
DEPT OF HEALTH SERVICES
AZ
Enumeration date
02/06/2007
Last updated
07/09/2007
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