Nadine Alfonso – Speech-Language Pathologist

Key facts

NPI: 1235266552
Entity type: Individual (NPI type 1)
Primary specialty: Speech-Language Pathologist 235Z00000X
License: SLP0383 (AZ)
Practice address: 2850 N 24TH St
Phoenix, AZ 85008-1004
Phone: (602) 266-5976
Fax: (602) 274-8952
NPI assigned: Feb 27, 2007
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.

Southwest Human Development Early Intervention Provider Agency · Phoenix, AZ · NPI 1316975196

NPD (past)

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD): No

State licenses

License	State	Type	Specialty
SLP0383	AZ	MD	Speech-Language Pathologist

Practice roles

Organization	Specialty	Status	New patients
Southwest Human Development		Past	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Speech-Language Pathologist	235Z00000X	SLP0383	AZ	Yes

Addresses

Primary practice location

2850 N 24TH St
Phoenix, AZ 85008-1004

Mailing address

2850 N 24TH St
Phoenix, AZ 85008-1004
Phone (602) 266-5976

Other identifiers

Identifier	Type	State	Issuer
AZ0140920	Other	AZ	BLUE CROSS BLUE SHIELD

Other providers in Phoenix, AZ

All providers in Phoenix, 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 Jul 9, 2007. 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.

Verify at the official NPI Registry.