Individual
ELAINE CUSANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC
Contact information
Practice address
551 S HIGLEY RD, MESA, AZ 85206-2148
(480) 892-9777
Mailing address
3370 S HOLLY CT, CHANDLER, AZ 85248-3657
(714) 319-1630
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
15247
CA
235Z00000X
Speech-Language Pathologist
Primary
SLP7505
AZ
Other
Enumeration date
09/21/2009
Last updated
07/12/2012
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