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Victoria Rivera

Specialist/Technologist, Speech-Language Assistant in Surprise, AZ. Individual provider (NPI-1).

NPI number1366074064
StatusActive
Last updated in NPPESFeb 10, 2020

Details

NPI
1366074064
Entity type
Individual (NPI-1)
Name
Victoria Rivera
Sex
Female
Sole proprietor
No
Enumeration date
Feb 10, 2020
Certification date
Feb 10, 2020
Last updated
Feb 10, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2355S0801X Specialist/Technologist, Speech-Language Assistant12257AZYes

Practice location

26934 N 178th Ave
Surprise, AZ 85387-1075

Phone 623-980-4164

Mailing address

12030 N 62nd Dr
Glendale, AZ 85304-2537

Phone 602-881-7190

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