Individual
MS. TANYA MARIE ENNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. S, CCC-SLP
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0502
Mailing address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0502
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6824
AZ
Other
Enumeration date
07/31/2009
Last updated
08/13/2010
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