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Lupe Pisano Deanda, SLPA
Speech-Language Assistant in Phoenix, Arizona
NPI 1770837940

Lupe Pisano Deanda is a Speech-Language Assistant based in Phoenix, AZ and is specialized in Speech-Language Assistant. Lupe Pisano Deanda practices in Phoenix, AZ and has the professional credentials of SLPA. The NPI Number for Lupe Pisano Deanda is 1770837940 and holds a License No. SLPA7935 (Arizona).

The current practice location address for Lupe Pisano Deanda is 7012 N 22Nd St, Phoenix, AZ and can be reached out via phone at 602-625-3571 and via fax at 602-955-0245.

Location: 7012 N 22Nd St, Phoenix, AZ, 85020-5604
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Provider Profile Details
NPI Number
1770837940
Provider Name
Lupe Pisano Deanda
Credential
SLPA
Provider Entity Type
Individual
Gender
Female
Address
7012 N 22Nd St, Phoenix, AZ, 85020-5604
Phone Number
602-625-3571
Fax Number
602-955-0245
Provider Enumeration Date
11/08/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
94-1687665 01 AZ E.I.N.
institution
Provider Business Practice Location Address Details
Address
7012 N 22Nd St
City
State
Zip
85020-5604
Phone Number
602-625-3571
Fax Number
602-955-0245
person
Provider Business Mailing Address Details
Address
7012 N 22Nd St
City
State
Zip
85020-5604
Phone Number
602-625-3571
Fax Number
602-955-0245
person
Provider's Taxonomy Details 1
Type
Speech, Language and Hearing Service Providers
Classification
Specialist/Technologist
Speciality
Speech-Language Assistant
Taxonomy
License No.
SLPA7935 (Arizona)
Definition
Definition to come...
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