Healthcare Provider Details

I. General information

NPI: 1063103893
Provider Name (Legal Business Name): NATALIE MAY ALVAREZ SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/15/2023
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19871 W FREMONT RD
BUCKEYE AZ
85326-9512
US

IV. Provider business mailing address

17266 W DURANGO ST
GOODYEAR AZ
85338-1709
US

V. Phone/Fax

Practice location:
  • Phone: 623-474-6600
  • Fax:
Mailing address:
  • Phone: 602-303-7807
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA17440
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: