Individual
ADRIENNE ANTONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
5317
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
756917
—
AZ
Enumeration date
11/05/2012
Last updated
01/29/2013
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