Individual
MS. HOLLY MELINDA FIDELDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13625 S 48TH ST, PHOENIX, AZ 85044-5000
(916) 717-2049
Mailing address
13625 S 48TH ST, PHOENIX, AZ 85044-5000
(916) 717-2049
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA8778
AZ
Other
Enumeration date
02/19/2015
Last updated
02/19/2015
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