Provider Demographics
NPI:1417352220
Name:MAGLINAO, ARIEL DIANE (MS, SLP-CF)
Entity Type:Individual
Prefix:MRS
First Name:ARIEL
Middle Name:DIANE
Last Name:MAGLINAO
Suffix:
Gender:F
Credentials:MS, SLP-CF
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2252 N 44TH ST APT 2037
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85008-7213
Mailing Address - Country:US
Mailing Address - Phone:623-478-6358
Mailing Address - Fax:
Practice Address - Street 1:5025 S 103RD AVE
Practice Address - Street 2:
Practice Address - City:TOLLESON
Practice Address - State:AZ
Practice Address - Zip Code:85353-4423
Practice Address - Country:US
Practice Address - Phone:623-478-6358
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-23
Last Update Date:2014-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTSLP9134235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist