Healthcare Provider Details
I. General information
NPI: 1871425322
Provider Name (Legal Business Name): NORTH END THERAPY GROUP, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 05/31/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1862 W KING AVE
TUCSON AZ
85713-2634
US
IV. Provider business mailing address
1862 W KING AVE
TUCSON AZ
85713-2634
US
V. Phone/Fax
- Phone: 520-242-1222
- Fax:
- Phone: 520-242-1222
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 235Z00000X |
| Taxonomy | Speech-Language Pathologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
MARY
LENTZ
Title or Position: OWNER
Credential: M.S. CCC-SLP
Phone: 520-242-1222