Healthcare Provider Details

I. General information

NPI: 1831585678
Provider Name (Legal Business Name): LAURA ARRIOLA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2015
Last Update Date: 04/03/2026
Certification Date: 04/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8700 S KYRENE RD
TEMPE AZ
85284-2197
US

IV. Provider business mailing address

3311 S TATUM LN
GILBERT AZ
85297-7808
US

V. Phone/Fax

Practice location:
  • Phone: 480-541-1000
  • Fax:
Mailing address:
  • Phone: 602-391-8401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License NumberTSLP16794
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: