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NPI Code Detail

MEDICARE: ARIZONA INSTITUTE FOR COMMUNICATION & COGNITIVE DISORDERS INC

MEDICARE: ARIZONA INSTITUTE FOR COMMUNICATION & COGNITIVE DISORDERS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistSLP0372AZ

General Provider Information

NPI Number : 1013134170
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARIZONA INSTITUTE FOR COMMUNICATION & COGNITIVE DISORDERS INC
Provider Business Mailing Address
First Line : 4545 N 36TH ST STE 125A
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-3456
Country : US
Telephone Number : 602-224-2020
Fax Number : 602-393-0141
Provider Business Practice Location Address
First Line : 4545 N 36TH ST STE 125A
Second Line :
City : PHOENIX
State : AZ
Zip : 85018-3456
Country : US
Telephone Number : 602-224-0202
Fax Number : 602-393-0141
Authorized Official
Title or Position : OWNER
Name : MARY JANE TRUNZO
Credential :
Telephone Number : 602-224-0202
Provider Enumeration Date : 04/19/2007
Last Update Date : 02/04/2021

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Directions to “ARIZONA INSTITUTE FOR COMMUNICATION & COGNITIVE DISORDERS INC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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