Individual
MYRIAM ANGELIQUE VILLAPUDUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
214 W MAIN ST, SOMERTON, AZ 85350-6329
(928) 627-1120
(928) 722-6113
Mailing address
PO BOX 617, SOMERTON, AZ 85350-0617
(928) 662-0406
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7439
AZ
Other
Enumeration date
08/26/2011
Last updated
08/13/2024
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