Organization
SPEECH THERAPY TIME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMENIK SPALETA LICENSE # SLPA7124 (OWNER / SLPA)
(480) 710-5835
Entity
Organization
Contact information
Practice address
4708 E COUNTY DOWN DR, CHANDLER, AZ 85249-7342
(480) 710-5835
Mailing address
4708 E COUNTY DOWN DR, CHANDLER, AZ 85249-7342
(480) 710-5835
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
08/09/2019
Last updated
08/09/2019
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