Individual
JACLYN UNTRECHT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
4635 N 14TH ST, PHOENIX, AZ 85014-4016
(602) 264-9039
Mailing address
4635 N 14TH ST, PHOENIX, AZ 85014-4016
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP14577
AZ
Other
Enumeration date
01/03/2025
Last updated
01/03/2025
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