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NPI Code Detail

MEDICARE: MARY SANTY M.A.,CCC-SLP

MEDICARE:   MARY  SANTY  M.A.,CCC-SLP
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 Pathologist0419AZ

General Provider Information

NPI Number : 1134241235
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY SANTY M.A.,CCC-SLP
Provider Business Mailing Address
First Line : 6205 EAST PARADISE LANE
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85254
Country : US
Telephone Number : 480-367-1712
Fax Number :
Provider Business Practice Location Address
First Line : 14421 NORTH 23RD AVENUE
Second Line :
City : PHOENIX
State : AZ
Zip : 55023-6099
Country : US
Telephone Number : 602-896-5732
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2007
Last Update Date : 07/08/2007

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Directions to “ MARY SANTY M.A.,CCC-SLP” Practice Location

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