Miranda Emmanuel Segovia, MS
Speech-Language Pathologist, in Phoenix, AZ. Individual provider (NPI-1).
NPI number1164089116
StatusActive
Last updated in NPPESMay 24, 2019
Details
- NPI
- 1164089116
- Entity type
- Individual (NPI-1)
- Name
- Miranda Emmanuel Segovia
- Credential
- MS
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 24, 2019
- Last updated
- May 24, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | TSLP11792 | AZ | Yes |
Practice location
4350 E Ray Rd Ste 101aPhoenix, AZ 85044-4707
Phone 480-704-5954
Mailing address
850 S River Dr Unit 2014Tempe, AZ 85281-4695
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