Healthcare Provider Details

I. General information

NPI: 1912728783
Provider Name (Legal Business Name): CHIT CHAT CONMIGO SLP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2024
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11114 E SAHUARO DR
SCOTTSDALE AZ
85259-3993
US

IV. Provider business mailing address

11114 E SAHUARO DR
SCOTTSDALE AZ
85259-3993
US

V. Phone/Fax

Practice location:
  • Phone: 520-264-8426
  • Fax:
Mailing address:
  • Phone: 520-264-8426
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LORENA HAUSERMANN
Title or Position: OWNER
Credential: CCC-SLP
Phone: 480-821-3601