Individual
MICHELLE A REABAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MNS, CCC-SLP
Contact information
Practice address
1221 W WARNER RD STE 102, TEMPE, AZ 85284-1906
(480) 735-0124
Mailing address
248 W MYRNA LN, TEMPE, AZ 85284-3019
(480) 831-8943
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0660
AZ
Other
Enumeration date
11/04/2010
Last updated
11/04/2010
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