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NPI Code Detail

MEDICARE: SOFIA MESFIN ASMEROM

MEDICARE:   SOFIA MESFIN ASMEROM
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 Pathologist

General Provider Information

NPI Number : 1447056056
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOFIA MESFIN ASMEROM
Provider Business Mailing Address
First Line : 7776 S POINTE PKWY W STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-5428
Country : US
Telephone Number : 480-382-7761
Fax Number : 480-564-5775
Provider Business Practice Location Address
First Line : 7776 S POINTE PKWY W STE 250
Second Line :
City : PHOENIX
State : AZ
Zip : 85044-5428
Country : US
Telephone Number : 480-382-7761
Fax Number : 480-564-5775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/24/2025
Last Update Date : 02/24/2025

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Directions to “ SOFIA MESFIN ASMEROM ” Practice Location

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