Individual
AMY RUTH ENRIQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS-CCC-SLP
Contact information
Practice address
5025 E WASHINGTON ST, PHOENIX, AZ 85034-7437
(480) 540-6852
Mailing address
5025 E WASHINGTON ST, PHOENIX, AZ 85034-7437
(480) 540-6852
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6574
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
758888
—
AZ
Enumeration date
03/10/2010
Last updated
07/11/2024
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