Individual
MIRANDA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1402 E. SOUTH MOUNTAIN AVE., PHOENIX, AZ 85042
(602) 243-4231
Mailing address
1402 E. SOUTH MOUNTAIN AVE., PHOENIX, AZ 85042
(602) 243-4231
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5401
AZ
Other
Enumeration date
09/23/2008
Last updated
09/23/2008
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