Individual
ALYSSA JURGENSMEIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13862 S 36TH WAY, PHOENIX, AZ 85044-8211
(480) 364-5874
Mailing address
13862 S 36TH WAY, PHOENIX, AZ 85044-8211
(480) 364-5874
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP10064
AZ
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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