Organization
TUCSON SPEECH AND LANGUAGE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANI LAZELL DEAN MS, CCC-SLP, COM (PRESIDENT TREASURER)
(520) 298-7883
Entity
Organization
Contact information
Practice address
1200 N EL DORADO PL STE A-150, TUCSON, AZ 85715-4637
(520) 298-7883
(520) 298-0035
Mailing address
1200 N EL DORADO PL STE A-150, TUCSON, AZ 85715-4637
(520) 298-7883
(520) 298-0035
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0451
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
735459
—
AZ
01
—
AZ0144070
BLUE CROSS BLUE SHIELD ID
AZ
Enumeration date
04/06/2007
Last updated
03/15/2011
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