Individual
COURTNEY SISTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
207 N GILBERT RD, STE 007, GILBERT, AZ 85234-5801
(602) 345-1785
(855) 461-3410
Mailing address
2487 S GILBERT RD STE 106-134, GILBERT, AZ 85295-2805
(480) 452-9365
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4767
AZ
Other
Enumeration date
03/23/2007
Last updated
06/28/2024
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