Individual
CHERYL LEE MORTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.CCC-SLP
Contact information
Practice address
2435 E SOUTHERN AVE, SUITE #7, TEMPE, AZ 85282-7628
(480) 345-2012
Mailing address
7027 W BLOOMFIELD RD, PEORIA, AZ 85381-9544
(623) 979-6505
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1010
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLP1010
AZ STATE LICENSE
—
Enumeration date
06/18/2007
Last updated
07/08/2007
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