Individual
SHAUNA LYNN REISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
3819 E CAMELBACK RD APT 287, PHOENIX, AZ 85018-2651
(602) 314-5398
Mailing address
3819 E CAMELBACK RD APT 287, PHOENIX, AZ 85018-2651
(602) 314-5398
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL4663
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
855794
—
AZ
Enumeration date
04/06/2007
Last updated
07/09/2007
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