Organization
DESERT DEVELOPMENTAL SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CONNIE TSANG (OWNER)
(602) 412-7232
Entity
Organization
Contact information
Practice address
4015 W WETHERSFIELD RD, PHOENIX, AZ 85029-2985
(602) 412-7232
Mailing address
4015 W WETHERSFIELD RD, PHOENIX, AZ 85029-2985
(602) 412-7232
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
386618
—
AZ
Enumeration date
09/23/2019
Last updated
04/20/2020
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