Individual
MS. TARA JOY MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, SLPA
Contact information
Practice address
12409 W INDIAN SCHOOL RD, SUITE C306, AVONDALE, AZ 85392-9502
(623) 935-6040
(623) 935-6046
Mailing address
12409 W INDIAN SCHOOL RD, SUITE C306, AVONDALE, AZ 85392-9502
(623) 935-6040
(623) 935-6046
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA6523
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SLPA6523
AZ DEPT. OF HEALTH SERVICES
AZ
Enumeration date
09/02/2010
Last updated
09/02/2010
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