Individual
DR. SANDRA JO MAXEDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1010 E 10TH ST, TUCSON, AZ 85719-5813
(520) 225-4031
Mailing address
816 W CLEAR CREEK WAY, TUCSON, AZ 85737-6951
(520) 247-1444
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
642787
—
AZ
Enumeration date
04/17/2007
Last updated
07/09/2007
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