Individual
JACOB GELIEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S. SLP-CF
Contact information
Practice address
7000 W HAPPY VALLEY RD, PEORIA, AZ 85383-3278
(623) 445-7645
Mailing address
4101 W UNION HILLS DR APT 1140, GLENDALE, AZ 85308-1734
(925) 759-9514
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP12023
AZ
Other
Enumeration date
08/14/2019
Last updated
08/14/2019
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