Individual
LISA DAWN BUNKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
(623) 537-6014
Mailing address
19389 N 59TH AVE, GLENDALE, AZ 85308-6500
(623) 537-6000
(623) 537-6014
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
7204397-4102
UT
235Z00000X
Speech-Language Pathologist
Primary
SLP14726
AZ
Other
Enumeration date
09/03/2015
Last updated
08/25/2023
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