Individual
MRS. FRANCES PATRICIA MOODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 N COUNTRY CLUB DR, MESA, AZ 85201-3307
(480) 472-0727
(480) 472-0705
Mailing address
120 S JEFFERSON AVE, MESA, AZ 85208-1018
(480) 472-8683
(480) 472-8724
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1492
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
615883
—
AZ
01
—
SLP1495
DHS #
AZ
Enumeration date
02/02/2007
Last updated
07/09/2007
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