Provider Demographics
NPI:1295165488
Name:A-Z SPEECH THERAPY, PLLC
Entity type:Organization
Organization Name:A-Z SPEECH THERAPY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EILEEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:TOKARZ
Authorized Official - Suffix:
Authorized Official - Credentials:MS/CCC
Authorized Official - Phone:480-636-7584
Mailing Address - Street 1:15608 N 71ST ST
Mailing Address - Street 2:SUITE 254
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5359
Mailing Address - Country:US
Mailing Address - Phone:480-636-7584
Mailing Address - Fax:630-351-2526
Practice Address - Street 1:15608 N 71ST ST
Practice Address - Street 2:SUITE 254
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5359
Practice Address - Country:US
Practice Address - Phone:480-636-7584
Practice Address - Fax:630-351-2526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP8085235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty