Healthcare Provider Details

I. General information

NPI: 1891434650
Provider Name (Legal Business Name): NORA TAFRO SLPA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2022
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6707 W VAN BUREN ST
PHOENIX AZ
85043-3309
US

IV. Provider business mailing address

4102 E ROCK WREN RD
PHOENIX AZ
85044-6793
US

V. Phone/Fax

Practice location:
  • Phone: 623-707-2500
  • Fax:
Mailing address:
  • Phone: 602-317-4436
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLPA13785
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: