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NPI Code Detail

MEDICARE: WHITNEY GOMBERT

MEDICARE: WHITNEY GOMBERT
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
1235Z00000XSpeech-Language PathologistSLP11790AZ
2235Z00000XSpeech-Language Pathologist

General Provider Information

NPI Number : 1174159818
Entity Type Code : Individual
Provider Name (Legal Business Name) : WHITNEY GOMBERT
Provider Business Mailing Address
First Line : 1831 W ROSE GARDEN LN STE 4
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2725
Country : US
Telephone Number : 602-898-9912
Fax Number :
Provider Business Practice Location Address
First Line : 1831 W ROSE GARDEN LN STE 4
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-2725
Country : US
Telephone Number : 602-898-9912
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2020
Last Update Date : 10/16/2024

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Directions to “ WHITNEY GOMBERT ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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