Individual
MARY COLLEEN IVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
1535 N SCOTTSDALE RD, 1139, TEMPE, AZ 85281-1500
(805) 377-5021
Mailing address
1535 N SCOTTSDALE RD, 1139, TEMPE, AZ 85281-1500
(805) 377-5021
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6319
AZ
Other
Enumeration date
03/17/2010
Last updated
03/17/2010
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