Individual
TATYN MOEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2225 W SOUTHERN AVE, MESA, AZ 85202-4716
(623) 888-3502
Mailing address
2225 W SOUTHERN AVE, MESA, AZ 85202-4716
(623) 888-3502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP11762
AZ
Other
Enumeration date
07/27/2019
Last updated
07/27/2019
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