Organization
DESERT THERAPIES INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RUTH BONNO M.A., C.C.C.-SLP (PRESIDENT)
(623) 362-9285
Entity
Organization
Contact information
Practice address
8914 W ADAM AVE, PEORIA, AZ 85382-2437
(623) 362-3414
(623) 362-8329
Mailing address
8914 W ADAM AVE, PEORIA, AZ 85382-2437
(623) 362-3414
(623) 362-8329
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0487
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
405515
AHCCCS
AZ
Enumeration date
02/16/2007
Last updated
08/22/2020
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