=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467143800
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AZ SPEECH & PSYCHOLOGICAL INSTITUTE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/17/2023
-----------------------------------------------------
Last Update Date | 06/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7776 S POINTE PKWY W STE 205
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85044-5423
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-382-7761
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 7776 S POINTE PKWY W STE 250
-----------------------------------------------------
City | PHOENIX
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85044-5428
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-382-7761
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/SCHOOL PSYCHOLOGIST
-----------------------------------------------------
Name | DR. JOSH J SMITH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 480-382-7761
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103T00000X
-----------------------------------------------------
Taxonomy Name | Psychologist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------