Provider Demographics
NPI:1184764821
Name:PEDIATRIC COMMUNICATION SERVICES
Entity type:Organization
Organization Name:PEDIATRIC COMMUNICATION SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPEECH LANGUAGE PATHOLOGIST
Authorized Official - Prefix:MS
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:YVONNE
Authorized Official - Last Name:CALVEZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS, CCC-SLP
Authorized Official - Phone:520-780-1826
Mailing Address - Street 1:8340 N THORNYDALE RD STE 110199
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85741-1162
Mailing Address - Country:US
Mailing Address - Phone:520-780-1826
Mailing Address - Fax:
Practice Address - Street 1:8340 N THORNYDALE RD STE 110199
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85741-1162
Practice Address - Country:US
Practice Address - Phone:520-780-1826
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-08
Last Update Date:2021-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP4357235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ0463680OtherPROVIDER NUMBER