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NPI Code Detail

MEDICARE: YADIRA PEREZ SLP

MEDICARE: YADIRA PEREZ 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 PathologistTSLP15392AZ

General Provider Information

NPI Number : 1447069455
Entity Type Code : Individual
Provider Name (Legal Business Name) : YADIRA PEREZ SLP
Provider Business Mailing Address
First Line : 5787 N 72ND DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85303-4747
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4635 N 14TH ST
Second Line :
City : PHOENIX
State : AZ
Zip : 85014-4016
Country : US
Telephone Number : 602-264-9039
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2025
Last Update Date : 01/03/2025

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Directions to “ YADIRA PEREZ SLP” Practice Location

Language Start Address Practice Location
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