Individual provider · NPI-1

Abigail Mae Anderson

Speech-Language Pathologist, · Tempe, AZ

NPI number1518655307
StatusActive
Last updated in NPPESJul 8, 2023

Details

NPI
1518655307
Entity type
Individual (NPI-1)
Name
Abigail Mae Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Apr 28, 2023
Certification date
Jul 8, 2023
Last updated
Jul 8, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
235Z00000X Speech-Language Pathologist,TSLP13133AZYes

Practice location

1 W Elliot Rd Ste 109
Tempe, AZ 85284-1310

Phone 480-374-4341

Mailing address

3262 W Monterey St
Chandler, AZ 85226-2331

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