Individual
REBECCA LYNNE WADSWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
854 E WILLIAMS FIELD RD STE 105, GILBERT, AZ 85295-0703
(480) 398-4280
(480) 398-4281
Mailing address
PO BOX 50218, PHOENIX, AZ 85076-0218
(480) 398-4280
(480) 398-4281
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12867
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500165
—
AZ
Enumeration date
03/01/2021
Last updated
03/01/2021
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