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Contact Information

ELITE SPEECH PATHOLOGY, LLC
1806 W PAMPA AVE
MESA, AZ85202-8013
 Phone: 480-612-7362
 Fax: 480-393-3670
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Home Health

251E00000X A4[11] Home Health Agency
 

Early Intervention Provider Agency

252Y00000X
Indicates primary specialty

NPI Profile & details for ELITE SPEECH PATHOLOGY, LLC

NPI Number 1679723191
LBN Legal business name ELITE SPEECH PATHOLOGY, LLC
Authorized official TRACY CONTRERAS - (OWNER/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/20/2008
Last updated 09/20/2008 - About 18 years ago
Identifiers
AZ License # SLP4118
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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