Organization
GREAT BASIN SPEECH THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AZRA HUSSAIN SLP (OWNER/SLP)
(530) 448-2135
Entity
Organization
Contact information
Practice address
100 SILVERSTONE PL, RENO, NV 89512-1326
(775) 453-0217
(775) 800-5956
Mailing address
100 SILVERSTONE PL, RENO, NV 89512-1326
(775) 453-0217
(775) 800-5956
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1386051175
—
NV
Enumeration date
09/12/2019
Last updated
05/09/2024
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