Alice P Armbruster, SLP

Individual provider Active NPI Speech-Language Pathologist · Fountain Hills, AZ

NPI 1053472811 · NPPES record last updated Aug 27, 2012

Key facts

NPI
1053472811
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
0738 (AZ)
Practice address
15406 N Castillo Dr
Fountain Hills, AZ 85268-1640
Phone
(480) 836-1077
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0738AZMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 0738 AZ Yes

Addresses

Primary practice location

15406 N Castillo Dr
Fountain Hills, AZ 85268-1640

Mailing address

15406 N Castillo Dr
Fountain Hills, AZ 85268-1640
Phone (480) 836-1077

Other identifiers

IdentifierTypeStateIssuer
431949MedicaidAZ

Other providers in Fountain Hills, AZ

All providers in Fountain Hills, AZ · Speech-Language Pathologist in Arizona

Sources for this page

Verify at the official NPI Registry.