NPI 1033456736

Jill Nicole Basham, SLP

Practitioner Speech-Language Pathologist Flagstaff, AZ

Practice location

Address: 1200 N Beaver St, Flagstaff, AZ 86001-3118
Phone: (602) 628-8597

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence SLP7396 (AZ)

Other Speech-Language Pathologist providers in Arizona →

Registry record

NPI: 1033456736
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2013
Record last updated: 15 Jan 2013

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.