Provider Demographics
NPI:1558606277
Name:ANAYA, DEVNEY NICOLE (SLPA)
Entity Type:Individual
Prefix:MRS
First Name:DEVNEY
Middle Name:NICOLE
Last Name:ANAYA
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 1:8731 W CAMINO DE ORO
Mailing Address - Street 2:
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85383-1419
Mailing Address - Country:US
Mailing Address - Phone:602-621-0868
Mailing Address - Fax:
Practice Address - Street 1:8731 W CAMINO DE ORO
Practice Address - Street 2:
Practice Address - City:PEORIA
Practice Address - State:AZ
Practice Address - Zip Code:85383-1419
Practice Address - Country:US
Practice Address - Phone:602-621-0868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA80472355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant