Healthcare Provider Details

I. General information

NPI: 1891627923
Provider Name (Legal Business Name): HEATHER BRIERLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4340 E INDIAN SCHOOL RD STE 21-297
PHOENIX AZ
85018-5360
US

IV. Provider business mailing address

4340 E INDIAN SCHOOL RD STE 21-297
PHOENIX AZ
85018-5360
US

V. Phone/Fax

Practice location:
  • Phone: 602-898-4053
  • Fax: 602-726-0540
Mailing address:
  • Phone: 602-898-4053
  • Fax: 602-726-0540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA15744
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: