Active NPIIndividual providerSole proprietor

Bryan Acosta, MS, CCC-SLP

Speech-Language Pathologist, in Glendale, Arizona

NPI Number1558039461
Practice location
7650 N 43RD Ave, Glendale, AZ 85301-1661
Fax
—
Last updated
September 3, 2021

Bryan Acosta, MS, CCC-SLP is a Speech-Language Pathologist, based in Glendale, AZ. Bryan Acosta, MS, CCC-SLP holds the professional credentials of MS, CCC-SLP. The NPI number for Bryan Acosta, MS, CCC-SLP is 1558039461 and holds license No. SLP12521 (AZ). The current practice location address is 7650 N 43RD Ave, Glendale, AZ 85301-1661 and the office can be reached by phone at 623-435-6000. The NPI was assigned on September 3, 2021 and the record was last updated in NPPES on September 3, 2021.

●Provider Profile Details

NPI Number
1558039461
Provider Name
Bryan Acosta
Credential
MS, CCC-SLP
Entity Type
Individual (Type 1 NPI)
Gender
Male
Primary Taxonomy
Speech-Language Pathologist, · 235Z00000X
Sole Proprietor
Yes
Enumeration Date
September 3, 2021
Last Update Date
September 3, 2021
Certification Date
September 3, 2021
NPI Status
Active

◉Business Practice Location Address

Address
7650 N 43RD Ave
Glendale, AZ 85301-1661
State
Arizona
ZIP
85301-1661
Country
US
Phone Number
623-435-6000

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✉Business Mailing Address

Address
624 W Indianola Ave Unit 115
Phoenix, AZ 85013-3370
City
Phoenix
State
AZ
ZIP
85013-3370

✎Taxonomy & License Information

TaxonomyCodePrimaryLicenseState
Speech-Language Pathologist,
193400000X - Single Specialty Group
235Z00000XYesSLP12521AZ

#Other Provider Identifiers

No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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?Frequently Asked Questions

What is the NPI number of Bryan Acosta, MS, CCC-SLP?

The NPI number of Bryan Acosta, MS, CCC-SLP is 1558039461. It was assigned on September 3, 2021 and is currently active in the NPPES registry.

What is the specialty of Bryan Acosta, MS, CCC-SLP?

Bryan Acosta, MS, CCC-SLP is registered under the primary taxonomy Speech-Language Pathologist, (code 235Z00000X) and holds license No. SLP12521 (AZ).

Where does Bryan Acosta, MS, CCC-SLP practice?

The practice location is 7650 N 43RD Ave, Glendale, AZ 85301-1661. The office can be reached at 623-435-6000 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558039461 directly on the NPPES registry website at npiregistry.cms.hhs.gov.

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