Organization
VALLEY SPEECH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN THOMAS HAILE (OWNER)
(928) 750-6384
Entity
Organization
Contact information
Practice address
2851 S AVENUE B LOT 5, YUMA, AZ 85364-7726
(928) 750-6384
Mailing address
300 W 22ND ST, YUMA, AZ 85364-6428
(928) 750-6384
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
08/31/2022
Last updated
10/21/2022
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