Individual
MS. ANITA J. JAIME
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
3401 N 67TH AVE, PHOENIX, AZ 85033-4517
(623) 691-5953
(623) 691-5960
Mailing address
4007 S FILER DR, TEMPE, AZ 85282-6126
(602) 276-6865
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP1486
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01042075
AMERICAN SPEECH-LANG ASSO
AZ
Enumeration date
04/06/2007
Last updated
07/08/2007
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