Individual
DIANA ALYSS REGALADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
16116 W HADLEY ST, GOODYEAR, AZ 85338
(480) 628-9783
Mailing address
16116 W HADLEY ST, GOODYEAR, AZ 85338
(480) 628-9783
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA14574
AZ
Other
Enumeration date
06/26/2023
Last updated
06/27/2023
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