Individual
PENNY LOUISE HAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
21630 N 19TH AVE STE B3, PHOENIX, AZ 85027-2717
(602) 726-2322
Mailing address
1817 E SOUTHERN AVE # 210, TEMPE, AZ 85282-5814
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA12172
AZ
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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