Individual
HEATHER DORNBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 487-5189
Mailing address
7212 N 20TH DR, PHOENIX, AZ 85021-7807
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP10022
AZ
Other
Enumeration date
08/18/2016
Last updated
04/15/2024
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