Organization
HEARTBEAT SPEECH THERAPY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIM W YONTZ CCC-SLP (SPEECH PATHOLOGIST)
(480) 889-4636
Entity
Organization
Contact information
Practice address
16454 S 29TH ST, PHOENIX, AZ 85048-8559
(480) 889-4636
Mailing address
16454 S 29TH ST, PHOENIX, AZ 85048-8559
(480) 889-4636
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
SLP0687
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
059586
—
AZ
Enumeration date
07/12/2016
Last updated
07/12/2016
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