Individual provider · NPI-1
Susan Valerie Anderson, M.S. CCC-SLP
Speech-Language Pathologist, · Tempe, AZ
NPI number1861564189
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1861564189
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Susan Valerie Anderson
- Credential
- M.S. CCC-SLP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 14, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 235Z00000X | Speech-Language Pathologist, | SLP0474 | AZ | Yes |
Practice location
3205 S Rural RdTempe, AZ 85282-3853
Phone 480-967-6599 · Fax 480-921-0814
Mailing address
4162 W Linda LnChandler, AZ 85226-6212
Phone 480-203-7278 · Fax 480-921-0184
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