Individual
RYAN LORENZ BAUER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S. CF-SLP
Contact information
Practice address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
(623) 842-3889
Mailing address
4510 N 37TH AVE, PHOENIX, AZ 85019-3206
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP8158
AZ
Other
Enumeration date
02/15/2013
Last updated
02/15/2013
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