Individual
MISS ALICIA MARY DOELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
1471 N ELISEO FELIX JR WAY, AVONDALE, AZ 85323-1208
(602) 773-5773
Mailing address
1241 W CAMPBELL AVE, PHOENIX, AZ 85013-2667
(480) 650-9665
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4003SLP
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
812504
—
AZ
Enumeration date
12/20/2006
Last updated
06/20/2023
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