Individual
JENNIFER IBARRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
7301 N 58TH AVE, GLENDALE, AZ 85301-1893
(623) 237-4513
Mailing address
17355 W BAJADA RD, SURPRISE, AZ 85387-1002
(623) 412-4875
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP8943
AZ
Other
Enumeration date
07/30/2014
Last updated
08/07/2020
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