Bryan Acosta, M.S., CCC-SLP
Speech-Language Pathologist, in Glendale, AZ. Individual provider (NPI-1).
NPI number1558039461
StatusActive
Last updated in NPPESSep 3, 2021
Details
- NPI
- 1558039461
- Entity type
- Individual (NPI-1)
- Name
- Bryan Acosta
- Credential
- M.S., CCC-SLP
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 3, 2021
- Certification date
- Sep 3, 2021
- Last updated
- Sep 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP12521 | AZ | Yes |
Practice location
7650 N 43rd AveGlendale, AZ 85301-1661
Phone 623-435-6000
Mailing address
624 W Indianola Ave Unit 115Phoenix, AZ 85013-3370
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All 256 Speech-Language Pathologist providers in Glendale · All 7,642 providers in Glendale
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