Individual
MELISSA JIMENEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPA
Contact information
Practice address
20165 N 67TH AVE, 122A, GLENDALE, AZ 85308-7002
(602) 573-5842
(623) 321-1177
Mailing address
2100 W DOLORES LN, FLAGSTAFF, AZ 86005-9023
(602) 885-6646
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8563
AZ
Other
Enumeration date
01/07/2014
Last updated
04/21/2021
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