Individual
ALYSSA ANZELMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10401 N 63RD AVE, GLENDALE, AZ 85302-1114
(623) 412-4775
Mailing address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8693
AZ
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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