Healthcare Provider Details

I. General information

NPI: 1417875915
Provider Name (Legal Business Name): BRYN ADAMS M.S., CF-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6930 E CHAUNCEY LN STE 295
PHOENIX AZ
85054-5172
US

IV. Provider business mailing address

6930 E CHAUNCEY LN STE 295
PHOENIX AZ
85054-5172
US

V. Phone/Fax

Practice location:
  • Phone: 602-432-4495
  • Fax:
Mailing address:
  • Phone: 602-432-4495
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTSLP16970
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: