Individual
MS. TINA BOLYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MNS CCC-SLP
Contact information
Practice address
642 E MEADOW LN, PHOENIX, AZ 85022-4244
(602) 748-9927
Mailing address
642 E MEADOW LN, PHOENIX, AZ 85022-4244
(602) 748-9927
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1784
AZ
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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