Healthcare Provider Details

I. General information

NPI: 1346190840
Provider Name (Legal Business Name): PURE SPEECH THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

3025 E MITCHELL DR
PHOENIX AZ
85016-7033
US

IV. Provider business mailing address

3025 E MITCHELL DR
PHOENIX AZ
85016-7033
US

V. Phone/Fax

Practice location:
  • Phone: 602-345-1551
  • Fax:
Mailing address:
  • Phone:
  • 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: JACK ANGER
Title or Position: OWNER
Credential: MS, CCC-SLP
Phone: 602-345-1551