Provider Demographics
NPI:1548784473
Name:FAIT, ADRIAN LINDA (SLP)
Entity Type:Individual
Prefix:
First Name:ADRIAN
Middle Name:LINDA
Last Name:FAIT
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 E FORT LOWELL RD APT 126
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85716-1532
Mailing Address - Country:US
Mailing Address - Phone:847-624-0963
Mailing Address - Fax:
Practice Address - Street 1:CHILD & FAMILY RESOURCES, INC.
Practice Address - Street 2:2800 E. BROADWAY BLVD
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716
Practice Address - Country:US
Practice Address - Phone:520-881-8940
Practice Address - Fax:520-325-8780
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-02
Last Update Date:2017-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ10630235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist