MEDICARE: CLARISA ISABEL CEPEDA

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
1	235Z00000X	Speech-Language Pathologist	SLPA12488	AZ

General Provider Information

NPI Number	:	1396334728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CLARISA ISABEL CEPEDA

Provider Business Mailing Address
First Line	:	6615 N 89TH AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85305-2028
Country	:	US
Telephone Number	:	602-446-4687
Fax Number	:

Provider Business Practice Location Address
First Line	:	6615 N 89TH AVE
Second Line	:
City	:	GLENDALE
State	:	AZ
Zip	:	85305-2028
Country	:	US
Telephone Number	:	602-446-4687
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2021
Last Update Date	:	01/11/2021

Similar Medicare Providers

1902739279 — SARAH DOYLE MS, ATC
Practice Location Address:

1135 NORTON AVE
GLENDALE, CA
91202-2028

Practice Phone: 818-636-3776
Practice Fax:

1073973673 — GRACE MEADOWS ASSISTED LIVING LLC
Practice Location Address:

4902 W BEVERLY LN
GLENDALE, AZ
85306-2028

Practice Phone: 602-978-1568
Practice Fax:

1154324903 — DR. JAMES C. FERRARO D.O.
Practice Location Address:

6622 N 91ST AVE STE 200
GLENDALE, AZ
85305-2569

Practice Phone: 623-547-4668
Practice Fax: 623-535-7869

1427055367 — MARK STEVEN PALAZZO DC
Practice Location Address:

6622 N 91ST AVE STE 230
GLENDALE, AZ
85305-2570

Practice Phone: 602-325-2024
Practice Fax: 720-925-5897

1467440818 — DR. JAMES POLKABLA O.D.
Practice Location Address:

9524 W CAMELBACK RD
GLENDALE, AZ
85305-3104

Practice Phone: 623-872-8822
Practice Fax: 623-772-8216

1689645467 — ABBY MICHELE NASTERNAK PA C
Practice Location Address:

9494 W NORTHERN AVE , 101
GLENDALE, AZ
85305-1118

Practice Phone: 623-872-2226
Practice Fax:

Directions to “ CLARISA ISABEL CEPEDA ” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.