NPI 1003122847

Agua Fria Union High School Dist #216

Organisation Speech-Language Pathologist Avondale, AZ

Practice location

Address: 1481 N Eliseo Felix Jr Way, Avondale, AZ 85323-1216
Phone: (623) 932-7141

Authorised official

Name: Lupe Segovia
Title: Mips Coordinator
Phone: (623) 932-7141

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP4856 (AZ)

Other Speech-Language Pathologist providers in Arizona →

Registry record

NPI: 1003122847
Entity type: Organization
NPI issued: 30 Aug 2010
Record last updated: 30 Aug 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.