Healthcare Provider Details

I. General information

NPI: 1588257919
Provider Name (Legal Business Name): WREN SPEECH SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/17/2021
Last Update Date: 02/17/2021
Certification Date: 02/17/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1322 W AMBERWOOD DR
PHOENIX AZ
85045-0604
US

IV. Provider business mailing address

1322 W AMBERWOOD DR
PHOENIX AZ
85045-0604
US

V. Phone/Fax

Practice location:
  • Phone: 480-591-8862
  • Fax:
Mailing address:
  • Phone: 480-591-8862
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0700X
TaxonomyHearing and Speech Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAREN LYNNE RUEHLE-KUMAR
Title or Position: OWNER
Credential:
Phone: 480-591-8862