Individual
ANTONINA CACCIATORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-SLP
Contact information
Practice address
1802 W PARKSIDE LN, PHOENIX, AZ 85027-1322
(602) 943-5472
Mailing address
9814 N 50TH ST, PARADISE VALLEY, AZ 85253-1008
(480) 219-2940
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP6919
AZ
Other
Enumeration date
02/23/2012
Last updated
02/23/2012
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