Healthcare Provider Details

I. General information

NPI: 1073747978
Provider Name (Legal Business Name): PEDIATRIC SPEECH & LANGUAGE SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2009
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6865 E BECKER LANE SUITE 101
SCOTTSDALE AZ
85254
US

IV. Provider business mailing address

6865 E BECKER LANE SUITE 101
SCOTTSDALE AZ
85254
US

V. Phone/Fax

Practice location:
  • Phone: 480-991-6560
  • Fax: 480-607-9246
Mailing address:
  • Phone: 623-341-3297
  • Fax: 480-607-9246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberSLP0490
License Number StateAZ

VIII. Authorized Official

Name: JEANNA TURNER
Title or Position: OWNER/EXECUTIVE DIRECTOR
Credential: MED, MS
Phone: 623-341-3297