Individual
MRS. CAROLYN CALHOUN LOPEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
1252 SOUTH 118 AVE., AVONDALE, AZ 85323
(623) 478-5794
Mailing address
6123 W LOUISE DR, GLENDALE, AZ 85310-4214
(623) 825-4682
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1352
AZ
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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