Individual
MS. LAURA JANE CORNELISSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CF-SLP
Contact information
Practice address
202 N SYCAMORE, MESA, AZ 85201-6150
(480) 472-4800
Mailing address
701 W GROVE PKWY APT 313, TEMPE, AZ 85283-4508
(406) 830-6742
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Enumeration date
06/17/2021
Last updated
06/17/2021
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