NPI 1043035124

Canon Tulloss

Practitioner Speech-Language Pathologist Flagstaff, AZ

Practice location

Address: 2915 N 4th St, Flagstaff, AZ 86004-1809
Phone: (928) 779-1679
Fax: (928) 779-2822

Registered specialties

Speech-Language Pathologist Primary

Speech, Language and Hearing Service Providers Taxonomy 235Z00000X Licence 15350 (AZ)

Other Speech-Language Pathologist providers in Arizona →

Registry record

NPI: 1043035124
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Nov 2024
Record last updated: 22 Nov 2024

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.