Colleen Buckley
Speech-Language Pathologist, in Avondale, AZ. Individual provider (NPI-1).
NPI number1487063459
StatusActive
Last updated in NPPESAug 4, 2014
Details
- NPI
- 1487063459
- Entity type
- Individual (NPI-1)
- Name
- Colleen Buckley
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 4, 2014
- Last updated
- Aug 4, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | TSLP9005 | AZ | Yes |
Practice location
1600 S 107th AveAvondale, AZ 85323-2209
Phone 313-505-3665
Mailing address
3800 N El Mirage DrApt 5825
Avondale, AZ 85392-3843
Phone 313-505-3665
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All 45 Speech-Language Pathologist providers in Avondale · All 2,059 providers in Avondale
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