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Individual

SEAN TYLER GABALDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SLP

Contact information

Practice address
9201 W THOMAS RD, PHOENIX, AZ 85037-3332
(623) 327-4000
Mailing address
8506 W BERRIDGE LN, GLENDALE, AZ 85305-2550
(602) 653-3662

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP11698
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137855
AHCCCS ID
AZ
Enumeration date
05/10/2019
Last updated
08/02/2025
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