Individual
JANET CARRILLO FUNK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
25806 N SINGBUSH LOOP, PHOENIX, AZ 85083-1605
(602) 885-0815
Mailing address
25806 N SINGBUSH LOOP, PHOENIX, AZ 85083-1605
(602) 885-0815
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6012
AZ
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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