Individual
NATALIE GREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, SLP-CCC
Contact information
Practice address
3839 W CAMELBACK RD, PHOENIX, AZ 85019-2512
(908) 472-7955
Mailing address
2315 N 52ND ST UNIT 123, PHOENIX, AZ 85008-2660
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA8995
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP8995
AZ
235Z00000X
Speech-Language Pathologist
TSLP8995
AZ
Other
Enumeration date
11/23/2015
Last updated
05/23/2023
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