Executive Voice Enterprises, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP0079 Issued in AZ

Legal business name

EXECUTIVE VOICE ENTERPRISES, LLC

Practice address

1930 S Alma School Rd
Suite # C-107
Mesa, AZ 85210-3064

Phone

(480) 777-2212

Fax

(480) 777-9092

NPI assigned

May 21, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Darrell L. Jensen, MS, CCC-SP

Title

Speech Pathologist

Phone

(480) 777-2212

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053529073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD",
            "address_2": "SUITE # C-107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103064",
            "telephone_number": "480-777-2212",
            "fax_number": "480-777-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 S ALMA SCHOOL RD",
            "address_2": "SUITE # C-107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852103064",
            "telephone_number": "480-777-2212",
            "fax_number": "480-777-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE VOICE ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "SPEECH PATHOLOGIST",
        "authorized_official_telephone_number": "480-777-2212",
        "authorized_official_credential": "MS, CCC-SP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "SLP0079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.