Individual
AUDREY ALEXA BRUGGEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13481 W MCDOWELL RD STE 300, GOODYEAR, AZ 85395-2724
(623) 536-2325
(623) 536-2056
Mailing address
13481 W MCDOWELL RD STE 300, GOODYEAR, AZ 85395-2724
(623) 536-2325
(623) 536-2056
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
SLPA13590
AZ
235Z00000X
Speech-Language Pathologist
Primary
SLP16043
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SLPA13590
—
AZ
Enumeration date
04/14/2022
Last updated
03/25/2025
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