Individual
AVANI SHAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4000
Mailing address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-4000
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP6299
AZ
Other
Enumeration date
08/29/2009
Last updated
01/21/2014
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