Edward Thomas Adams Jr., SLP

Individual provider Active NPI Speech-Language Pathologist · Tucson, AZ

NPI 1720095698 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1720095698
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Pathologist 235Z00000X
License
SLPL5125 (AZ)
Practice address
5656 E Grant Rd
Tucson, AZ 85712-2210
Phone
(520) 885-9567
Fax
(520) 885-9568
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

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
SLPL5125AZMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SLPL5125 AZ Yes

Addresses

Primary practice location

5656 E Grant Rd
Tucson, AZ 85712-2210

Mailing address

5650 E. Julius Stravenue
Tucson, AZ 85712-3709
Phone (520) 270-4816

Other providers in Tucson, AZ

All providers in Tucson, AZ · Speech-Language Pathologist in Arizona

Sources for this page

Verify at the official NPI Registry.