Provider Demographics
NPI:1619021722
Name:DELVECCHIO, RUTH B (MA CCC-SLP)
Entity Type:Individual
Prefix:MS
First Name:RUTH
Middle Name:B
Last Name:DELVECCHIO
Suffix:
Gender:F
Credentials:MA CCC-SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9126 E VOLTAIRE DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-4200
Mailing Address - Country:US
Mailing Address - Phone:480-661-5213
Mailing Address - Fax:480-661-5213
Practice Address - Street 1:9126 E VOLTAIRE DR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-4200
Practice Address - Country:US
Practice Address - Phone:480-661-5213
Practice Address - Fax:480-661-5213
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0357235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ176934OtherAHCCCS