Southwest Human Development
Organization Active NPI Early Intervention Provider Agency · Phoenix, AZ
NPI 1316975196 · NPPES record last updated Jan 22, 2014
Key facts
- NPI
- 1316975196
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Early Intervention Provider Agency 252Y00000X
- Legal business name
- SOUTHWEST HUMAN DEVELOPMENT
- Practice address
- 2850 N 24TH St
Phoenix, AZ 85008-1004 - Phone
- (602) 266-5976
- Fax
- (602) 274-5982
- NPI assigned
- Jun 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Ginger Ward
- Title
- Executive Director
- Phone
- (602) 266-5976
Practitioners 12
-
Breeta Garland, CCC-SLP
-
Jennifer Rousseaus, M.S.
National Provider Directory
Locations
2850 N 24th St
Phoenix, AZ 85008
Phone (602) 266-5976
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Early Intervention Provider Agency | 252Y00000X | 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 |
|---|---|---|---|
| 199150 | Medicaid | AZ | |
| 042127 | Medicaid | AZ | |
| 936560 | Medicaid | AZ | |
| AZ0140920 | Other | AZ | BLUE CROSS BLUE SHIELD |
Other providers in Phoenix, AZ
- Southwest Heart & Lung, PC
- Southwest Hematology Oncology PC
- Southwest Human Developement
- Southwest Human Development
- Southwest Human Development
- Southwest Human Development
- Southwest in Home Services
- Southwest Independence, L.L.C.
- Southwest Injury Centers
- Southwest Institute for Sleep
All providers in Phoenix, AZ · Early Intervention Provider Agency in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2014. 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.