Individual
MS. SYLVIA GARZA LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
4502 N CENTRAL AVE, PHOENIX, AZ 85012-1817
(602) 764-2031
Mailing address
4043 E CAPISTRANO AVE, PHOENIX, AZ 85044-1000
(480) 496-5967
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1718
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
646234
—
AZ
Enumeration date
03/29/2007
Last updated
07/08/2007
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