Individual
MRS. DEBORAH DIRVONAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1030 N BLUE GROTTO DR, GILBERT, AZ 85234-4905
(480) 926-6301
Mailing address
2238 E INDIGO BAY DR, GILBERT, AZ 85234-2871
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1077
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38603
—
AZ
Enumeration date
12/20/2006
Last updated
07/08/2007
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