Healthcare Provider Details

I. General information

NPI: 1003727967
Provider Name (Legal Business Name): ISABELLE MARIE UGARTE MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1830 S ALMA SCHOOL RD STE 122
MESA AZ
85210-3087
US

IV. Provider business mailing address

10410 N CAVE CREEK RD UNIT 2126
PHOENIX AZ
85020-1664
US

V. Phone/Fax

Practice location:
  • Phone: 480-361-8355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTSLP17903
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: