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Lisa Ann McIntire

Speech-Language Pathologist, in Mesa, AZ. Individual provider (NPI-1).

NPI number1114045895
StatusActive
Last updated in NPPESJul 9, 2007

Details

NPI
1114045895
Entity type
Individual (NPI-1)
Name
Lisa Ann McIntire
Sex
Female
Sole proprietor
No
Enumeration date
Mar 27, 2007
Last updated
Jul 9, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,SLP0134AZYes

Practice location

1025 N Country Club Dr
Mesa, AZ 85201-3307

Phone 480-472-0727 · Fax 480-472-0705

Mailing address

825 W Medina Ave
Mesa, AZ 85210-7144

Phone 480-472-4041

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