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Contact Information

LISA A BERG, SLPA
4650 W SWEETWATER AVE
GLENDALE, AZ85304-1505
 Phone: 602-347-2653
 Fax: 602-347-2709
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Local Education Agency (LEA)

251300000X
 

Speech-Language Assistant

2355S0801X
Indicates primary specialty

NPI Profile & details for

NPI Number 1275863334
Entity Organization
Organization subpart 1 Not specified
Enumeration date 01/12/2010
Last updated 01/12/2010 - About 16 years ago
Identifiers
AZ License # SLPA6380
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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