Healthcare Provider Details

I. General information

NPI: 1376477729
Provider Name (Legal Business Name): AUBREY NOELLE PEOPLES CFY-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2302 N 15TH AVE
PHOENIX AZ
85007-1201
US

IV. Provider business mailing address

6445 S MAPLE AVE APT 2032
TEMPE AZ
85283-3639
US

V. Phone/Fax

Practice location:
  • Phone: 160-236-2622
  • Fax:
Mailing address:
  • Phone: 336-501-5772
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTSLP17469
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: