Individual
ELIZABETH MARTINEZ LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2511 N 23RD AVE, PHOENIX, AZ 85009-1921
(480) 363-0893
Mailing address
2511 N 23RD AVE, PHOENIX, AZ 85009-1921
(480) 363-0893
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA15012
AZ
Other
Enumeration date
01/23/2024
Last updated
01/23/2024
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