Individual
BRYAN ACOSTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S., CCC-SLP
Contact information
Practice address
7650 N 43RD AVE, GLENDALE, AZ 85301-1661
(623) 435-6000
Mailing address
624 W INDIANOLA AVE UNIT 115, PHOENIX, AZ 85013-3370
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP12521
AZ
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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