Individual
GABRIELLE MORTELLARO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8637 W FARGO DR, PEORIA, AZ 85382-4723
(928) 308-3402
Mailing address
8092 W PARADISE LN, APT 2116, PEORIA, AZ 85382-4976
(928) 308-3402
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA10099
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP15888
AZ
Other
Enumeration date
08/02/2016
Last updated
07/31/2025
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