Healthcare Provider Details

I. General information

NPI: 1477342855
Provider Name (Legal Business Name): ABSOLUTE SPEECH & LANGUAGE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2025
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3165 W FOOTHILL ST
APACHE JUNCTION AZ
85120-1313
US

IV. Provider business mailing address

3165 W FOOTHILL ST
APACHE JUNCTION AZ
85120-1313
US

V. Phone/Fax

Practice location:
  • Phone: 480-600-1865
  • Fax:
Mailing address:
  • Phone: 480-600-1865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: KRISTA DUFFEL
Title or Position: OWNER/SLP
Credential: M.S.,CCC-SLP
Phone: 480-600-1865