Agua Fria Union High School Dist #216
Organization Active NPI Speech-Language Pathologist · Avondale, AZ
NPI 1003122847 · NPPES record last updated Aug 30, 2010
Key facts
- NPI
- 1003122847
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Speech-Language Pathologist 235Z00000X
- License
- SLP4856 (AZ)
- Legal business name
- AGUA FRIA UNION HIGH SCHOOL DIST #216
- Practice address
- 1481 N Eliseo Felix Jr Way
Avondale, AZ 85323-1216 - Phone
- (623) 932-7141
- NPI assigned
- Aug 30, 2010
- Organization subpart
- No
Authorized official
- Name
- Lupe Segovia
- Title
- Mips Coordinator
- Phone
- (623) 932-7141
Practitioners 1
National Provider Directory
Locations
1481 N Eliseo Felix Jr Way
Avondale, AZ 85323
Phone (623) 932-7017
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist |
235Z00000X | SLP4856 | AZ | Yes |
Addresses
Primary practice location
1481 N Eliseo Felix Jr Way
Avondale, AZ 85323-1216
Mailing address
1481 N Eliseo Felix Jr Way
Avondale, AZ 85323-1216
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All providers in Avondale, AZ · Speech-Language Pathologist in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.