Provider Demographics
NPI:1376925644
Name:ANDERSON, ALORA D (AUD)
Entity Type:Individual
Prefix:
First Name:ALORA
Middle Name:D
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2340 E BEARDSLEY RD
Mailing Address - Street 2:SUITE 260
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-1285
Mailing Address - Country:US
Mailing Address - Phone:602-802-8240
Mailing Address - Fax:602-802-8245
Practice Address - Street 1:2340 E BEARDSLEY RD
Practice Address - Street 2:SUITE 260
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85024-1285
Practice Address - Country:US
Practice Address - Phone:602-802-8240
Practice Address - Fax:602-802-8245
Is Sole Proprietor?:No
Enumeration Date:2015-06-23
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist