Individual
MR. LOUIS ANTHONY DACHTYL III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA CCC-SLP
Contact information
Practice address
39 BENCLIFFE CIR, APT B, AUBURNDALE, MA 02466-1101
(520) 271-2119
Mailing address
39 BENCLIFFE CIR, APT B, AUBURNDALE, MA 02466-1101
(520) 271-2119
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4084
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
888654
—
AZ
Enumeration date
02/13/2007
Last updated
07/09/2007
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