Individual provider · NPI-1
Bryan Adams
Speech-Language Pathologist, · Tempe, AZ
NPI number1487263380
StatusActive
Last updated in NPPESJul 27, 2020
Details
- NPI
- 1487263380
- Entity type
- Individual (NPI-1)
- Name
- Bryan Adams
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 27, 2020
- Certification date
- Jul 27, 2020
- Last updated
- Jul 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | TSLP12382 | AZ | Yes |
Practice location
3205 S Rural RdTempe, AZ 85282-3853
Phone 480-730-7100
Mailing address
1227 N RosemontMesa, AZ 85205-4233
Phone 480-773-1561
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