Organization
SPEECH THERAPY GROUP OF TUCSON PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN KYLE MEADES SLP (PRESIDENT)
(520) 232-2021
Entity
Organization
Contact information
Practice address
1830 E BROADWAY BLVD, SUITE 124-143, TUCSON, AZ 85719-5966
(520) 232-2021
(520) 232-2553
Mailing address
1830 E BROADWAY BLVD, SUITE 124-143, TUCSON, AZ 85719-5966
(520) 232-2021
(520) 232-2553
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP 5096
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
766943
—
AZ
Enumeration date
12/10/2012
Last updated
12/26/2012
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