Organization
DYSART UNIFIED SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA M CHACE (SPEECH PATHOLOGIST)
(623) 876-7706
Entity
Organization
Contact information
Practice address
13700 W GREENWAY RD, SURPRISE, AZ 85374-5291
(623) 876-7706
Mailing address
9462 N 94TH LN, PEORIA, AZ 85345-6370
(623) 734-4477
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
#SLP4009
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
590902
—
AZ
Enumeration date
01/18/2007
Last updated
06/24/2008
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