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Cassidy Phoenix
Speech-Language Assistant in Lake Havasu City, Arizona
NPI 1255865648

Cassidy Phoenix is a Speech-Language Assistant based in Lake Havasu City, AZ and is specialized in Speech-Language Assistant. Cassidy Phoenix practices in Lake Havasu City, AZ. The NPI Number for Cassidy Phoenix is 1255865648 and holds a License No. SLPA10517 (Arizona).

The current practice location address for Cassidy Phoenix is 37 Oceanic Ln, Lake Havasu City, AZ and can be reached out via phone at 702-501-1143.

Location: 37 Oceanic Ln, Lake Havasu City, AZ, 86406-4362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255865648
Provider Name
Cassidy Phoenix
Credential
Provider Entity Type
Individual
Gender
Female
Address
37 Oceanic Ln, Lake Havasu City, AZ, 86406-4362
Phone Number
702-501-1143
Fax Number
Provider Enumeration Date
04/12/2017
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
37 Oceanic Ln
City
Lake Havasu City
State
Arizona
Zip
86403-5434
Phone Number
702-501-1143
Fax Number
person
Provider Business Mailing Address Details
Address
37 Oceanic Ln
City
Lake Havasu City
State
Arizona
Zip
86403-5434
Phone Number
702-501-1143
Fax Number
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
2355S0801X
License No.
SLPA10517 (Arizona)
Definition
Definition to come...
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