Organization
SURPRISE SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAI LING CHAN MS, CCC-SLP (DIRECTOR)
(623) 521-0571
Entity
Organization
Contact information
Practice address
15315 W PERSHING ST, SURPRISE, AZ 85379-8159
(623) 521-0571
Mailing address
15315 W PERSHING ST, SURPRISE, AZ 85379-8159
(623) 521-0571
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5051
AZ
Other
Enumeration date
10/21/2008
Last updated
10/21/2008
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