MEDICARE: DEBBY SUAREZ

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	2355S0801X	Speech-Language Assistant		AZ

General Provider Information

NPI Number	:	1508722323
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBBY SUAREZ

Provider Business Mailing Address
First Line	:	718 W MOHAVE ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-4128
Country	:	US
Telephone Number	:	480-245-3156
Fax Number	:

Provider Business Practice Location Address
First Line	:	718 W MOHAVE ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85007-4128
Country	:	US
Telephone Number	:	480-245-3156
Fax Number	:

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

Provider Enumeration Date	:	12/26/2025
Last Update Date	:	12/26/2025

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Directions to “ DEBBY SUAREZ ” Practice Location

Language	Start Address	Practice Location

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