Elizabeth B Spence, CFY SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

TSLP5536 Issued in AZ

Practice address

1819 S Dobson Rd
Ste 212
Mesa, AZ 85202-5664

Phone

(480) 456-0719

NPI assigned

Jun 19, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184284800000",
    "number": "1689879579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 S DOBSON RD",
            "address_2": "STE 212",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025664",
            "telephone_number": "480-456-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 S DOBSON RD",
            "address_2": "STE 212",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852025664",
            "telephone_number": "480-456-0719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "ELIZABETH",
        "middle_name": "B",
        "credential": "CFY SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2007-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AZ",
            "license": "TSLP5536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "222871",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Spectrum Psychology and Wellness, LLC
• Speech America Learning Associates
• Natalia Speer
• Vassie L Speer
• Walter Glen Speirs, PA-C
• Allison Spencer, LCSW
• Charles W Spencer
• Joan Spencer, L.AC.
• Kristi Spencer
• Neale M Spender, ACNP

• Speech-Language Pathologist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Speech-Language Pathologist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.