Individual
MRS. CHRISTINE LAPORTA JUAREZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
25615 N RANCH GATE RD, SCOTTSDALE, AZ 85255-2141
(202) 561-7280
Mailing address
3606 W FOLLEY ST, CHANDLER, AZ 85226-4910
(703) 963-2851
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
05949
MD
235Z00000X
Speech-Language Pathologist
2202004969
VA
235Z00000X
Speech-Language Pathologist
SLP000128
DC
235Z00000X
Speech-Language Pathologist
Primary
SLP9673
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639499114
—
PA
Enumeration date
06/07/2010
Last updated
03/01/2023
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