MEDICARE: PEDIATRIC SPEECH & LANGUAGE SPECIALISTS, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	235Z00000X	Speech-Language Pathologist	SLP0490	AZ

General Provider Information

NPI Number	:	1073747978
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PEDIATRIC SPEECH & LANGUAGE SPECIALISTS, LLC

Provider Business Mailing Address
First Line	:	6865 E BECKER LANE
Second Line	:	SUITE 101
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254
Country	:	US
Telephone Number	:	623-341-3297
Fax Number	:	480-607-9246

Provider Business Practice Location Address
First Line	:	6865 E BECKER LANE
Second Line	:	SUITE 101
City	:	SCOTTSDALE
State	:	AZ
Zip	:	85254
Country	:	US
Telephone Number	:	480-991-6560
Fax Number	:	480-607-9246

Authorized Official
Title or Position	:	OWNER/EXECUTIVE DIRECTOR
Name	:	JEANNA TURNER
Credential	:	MED, MS
Telephone Number	:	623-341-3297

Provider Enumeration Date	:	05/06/2009
Last Update Date	:	12/09/2025

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