Individual
MRS. SHANA MARIE GAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS SLP
Contact information
Practice address
2619 E ANDERSON DR, PHOENIX, AZ 85032-2432
(602) 228-2599
Mailing address
2619 E ANDERSON DR, PHOENIX, AZ 85032-2432
(602) 228-2599
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5067
AZ
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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