Individual
TRACY PLEWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCC-SLP
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
4712
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231459
—
AZ
Enumeration date
07/12/2007
Last updated
09/15/2009
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