Joan F Brovitz, SLPA

Individual provider Active NPI Speech-Language Assistant · Carefree, AZ

NPI 1194044958 · NPPES record last updated May 19, 2010

Key facts

NPI
1194044958
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
License
SLPA6402 (AZ)
Practice address
7301 E Sundance Trail D-201
Carefree, AZ 85377
Phone
(480) 595-2184
Fax
(480) 595-0212
NPI assigned
May 19, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
SLPA6402AZMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Partners, LLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X SLPA6402 AZ Yes

Addresses

Primary practice location

7301 E Sundance Trail D-201
Carefree, AZ 85377

Mailing address

PO Box 3457
Carefree, AZ 85377-3457
Phone (480) 595-2184

Other providers in Carefree, AZ

All providers in Carefree, AZ · Speech-Language Assistant in Arizona

Sources for this page

Verify at the official NPI Registry.