Healthcare Provider Details

I. General information

NPI: 1942105010
Provider Name (Legal Business Name): SPEECH CONNECTION THERAPY SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

5104 N 32ND ST UNIT 153
PHOENIX AZ
85018-1494
US

IV. Provider business mailing address

5104 N 32ND ST UNIT 153
PHOENIX AZ
85018-1494
US

V. Phone/Fax

Practice location:
  • Phone: 623-205-7042
  • Fax:
Mailing address:
  • Phone: 623-205-7042
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ELIZABETH BIRCH
Title or Position: SPEECH LANGUAGE PATHOLOGIST
Credential: SLP
Phone: 623-205-7042