Individual
MONICA VAN DINTEREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
3421 E CONSTANCE WAY, PHOENIX, AZ 85042-0012
(856) 816-7181
Mailing address
3421 E CONSTANCE WAY, PHOENIX, AZ 85042-0012
(856) 816-7181
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP7809
AZ
235Z00000X
Speech-Language Pathologist
TSLP7809
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
711458
—
AZ
Enumeration date
06/28/2012
Last updated
02/06/2024
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