Individual
MRS. AMY E GAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
1210 N 5TH AVE, PHOENIX, AZ 85003-1225
(602) 523-8721
Mailing address
2223 E CACTUS WREN DR, PHOENIX, AZ 85020-5623
(602) 388-4019
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4428
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
874603
—
AZ
Enumeration date
02/07/2007
Last updated
07/09/2007
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