Individual
MS. RITA RENEE GAVLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
14015 N 94TH ST APT 1034, SCOTTSDALE, AZ 85260-3725
(480) 751-8036
Mailing address
14015 N 94TH ST APT 1034, SCOTTSDALE, AZ 85260-3725
(480) 751-8036
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP5110
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129648
—
AZ
Enumeration date
02/02/2007
Last updated
07/09/2007
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