Individual
AMY BETH POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
20402 N 15TH AVE, PHOENIX, AZ 85027-3636
(623) 445-5000
Mailing address
8351 W MAYA DR, PEORIA, AZ 85383-3824
(856) 562-9093
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
12303
AZ
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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