Leticia G Cantu

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

NPI 1760049159 · NPPES record last updated May 22, 2019

Key facts

NPI
1760049159
Entity type
Individual (NPI type 1)
Primary specialty
Speech-Language Assistant 2355S0801X
Practice address
2102 N 114TH Dr
Avondale, AZ 85392-5225
Phone
(602) 910-8077
NPI assigned
May 22, 2019
Sex
Female
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

Specialties & licenses

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

Addresses

Primary practice location

2102 N 114TH Dr
Avondale, AZ 85392-5225

Mailing address

2102 N 114TH Dr
Avondale, AZ 85392-5225
Phone (602) 910-8077

Other providers in Avondale, AZ

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

Sources for this page

Verify at the official NPI Registry.