1437279908 NPI number — SPEECH AMERICA LEARNING ASSOCIATES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1437279908 NPI number — SPEECH AMERICA LEARNING ASSOCIATES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
SPEECH AMERICA LEARNING ASSOCIATES
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1437279908
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
21001 N TATUM BLVD
Provider Second Line Business Mailing Address:
SUITE 1630-126
Provider Business Mailing Address City Name:
PHOENIX
Provider Business Mailing Address State Name:
AZ
Provider Business Mailing Address Postal Code:
85050-4206
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
480-375-5054
Provider Business Mailing Address Fax Number:
480-368-7946

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
745 N ALMA SCHOOL RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MESA
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85201-4633
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
480-820-5186
Provider Business Practice Location Address Fax Number:
480-820-5187
Provider Enumeration Date:
03/30/2007

Additional Information

Authorized Official

Authorized Official Last Name:
MCLAUGHLIN
Authorized Official First Name:
PAMELA
Authorized Official Middle Name:
KAY
Authorized Official Title or Position:
LEAD SPEECH PATHOLOGIST
Authorized Official Telephone Number:
480-861-0043

Provider Taxonomy Codes

  • Taxonomy code: 235Z00000X , with the licence number:  SLP2198 , registered in the state of AZ ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com