Healthcare Provider Details

I. General information

NPI: 1992679146
Provider Name (Legal Business Name): SCARLET VERONICA CANAL-ESTEVEZ
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 S ARIZONA AVE
YUMA AZ
85364-8537
US

IV. Provider business mailing address

1224 S 41ST DR
YUMA AZ
85364-4075
US

V. Phone/Fax

Practice location:
  • Phone: 928-502-7700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License NumberSLPA16351
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: