Individual
MR. TERRY CONARD COLYAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
540 E LA PASADA BLVD, GOODYEAR, AZ 85338-1368
(623) 772-4300
Mailing address
29761 N 69TH DR, PEORIA, AZ 85383-3179
(602) 625-6897
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0956
AZ
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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