Individual
LISA ANNE METSOPOLOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA, RBT
Contact information
Practice address
1526 W GLENDALE AVE STE 109, PHOENIX, AZ 85021-8576
(602) 625-0513
Mailing address
3130 W FOOTHILL DR, PHOENIX, AZ 85027-1600
(602) 570-2749
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
12788
AZ
Other
Enumeration date
01/22/2021
Last updated
01/22/2021
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