Provider Demographics
NPI:1215369145
Name:JAROS, TONI VASQUEZ (SLPA)
Entity Type:Individual
Prefix:MRS
First Name:TONI
Middle Name:VASQUEZ
Last Name:JAROS
Suffix:
Gender:F
Credentials:SLPA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:923 S LAZONA DR
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85204-4336
Mailing Address - Country:US
Mailing Address - Phone:480-265-5008
Mailing Address - Fax:
Practice Address - Street 1:5990 S VAL VISTA DR
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-9028
Practice Address - Country:US
Practice Address - Phone:480-224-2100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-01
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ77252355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant