Individual
EDITH FELIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SLP
Contact information
Practice address
1233 N MAIN STREET, STE 10 11 & 12, SAN LUIS, AZ 85349
(928) 722-6050
(928) 722-6094
Mailing address
PO BOX 5841, YUMA, AZ 85366-2490
(928) 722-6050
(928) 722-6094
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP7061
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
TSLP7061
AZ LICENSE
AZ
Enumeration date
04/19/2013
Last updated
04/19/2013
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