Provider Demographics
NPI:1376155234
Name:CENTRAL ARIZONA SPEECH THERAPY, PLLC
Entity Type:Organization
Organization Name:CENTRAL ARIZONA SPEECH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:928-899-1438
Mailing Address - Street 1:17491 E JACKRABBIT RD
Mailing Address - Street 2:
Mailing Address - City:MAYER
Mailing Address - State:AZ
Mailing Address - Zip Code:86333-4329
Mailing Address - Country:US
Mailing Address - Phone:928-899-1438
Mailing Address - Fax:928-583-7113
Practice Address - Street 1:17491 E JACKRABBIT RD
Practice Address - Street 2:
Practice Address - City:MAYER
Practice Address - State:AZ
Practice Address - Zip Code:86333-4329
Practice Address - Country:US
Practice Address - Phone:928-899-1438
Practice Address - Fax:928-583-7113
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-20
Last Update Date:2020-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty