NPI 1134594153

Evangelina Gonzalez Speech LLC

Organisation Early Intervention Provider Agency Phoenix, AZ

Practice location

Address: 6622 W. Taylor St., Phoenix, AZ 85043-1504
Phone: (602) 326-2063
Mailing address: 6622 W Taylor St, Phoenix, AZ 85043-5083

Authorised official

Name: Evangelina Gonzalez
Title: Slpa
Phone: (602) 326-2063

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence SLPA9604 (AZ)

Other Early Intervention Provider Agency providers in Arizona →

Registry record

NPI: 1134594153
Entity type: Organization
NPI issued: 2 Dec 2015
Record last updated: 2 Dec 2015

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.