Organization
INNOVATIVE SPEECH THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA NICOLE HEATON M.S., CCC-SLP (CO-PRESIDENT)
(602) 703-0613
Entity
Organization
Contact information
Practice address
2017 W TALLGRASS TRL, PHOENIX, AZ 85085-2795
(602) 703-0613
Mailing address
2017 W TALLGRASS TRL, PHOENIX, AZ 85085-2795
(602) 703-0613
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP4771
AZ
Other
Enumeration date
07/09/2008
Last updated
07/09/2008
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