Individual
MS. CALLIE JORDAN POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLPL
Contact information
Practice address
1526 W MISSOURI AVE, PHOENIX, AZ 85015-2616
(602) 707-8624
(602) 707-2040
Mailing address
1226 W OSBORN RD, PHOENIX, AZ 85013-3618
(602) 707-8624
(602) 707-2040
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5130
AZ
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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