Healthcare Provider Details

I. General information

NPI: 1487702189
Provider Name (Legal Business Name): ANGELA CURTRIGHT M.S. CCC-SLP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MI NORTH HIGHWAY 41
PINON AZ
86510
US

IV. Provider business mailing address

PO BOX 746
PINON AZ
86510-0746
US

V. Phone/Fax

Practice location:
  • Phone: 928-725-2131
  • Fax:
Mailing address:
  • Phone: 928-725-3073
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP1279
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: