Individual
MRS. CAROLE POMILIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
8700 S KYRENE RD, TEMPE, AZ 85284-2108
(480) 783-4020
Mailing address
14618 S 34TH PL, PHOENIX, AZ 85044-7012
(480) 704-0379
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5287
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
172523
—
AZ
Enumeration date
04/10/2007
Last updated
07/09/2007
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