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NPI Code Detail

MEDICARE: CARLEY THOMPSON

MEDICARE: CARLEY THOMPSON
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 PathologistSLPA12993AZ

General Provider Information

NPI Number : 1205418605
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLEY THOMPSON
Provider Business Mailing Address
First Line : 6659 E VIRGINIA ST
Second Line :
City : MESA
State : AZ
Zip : 85215-4339
Country : US
Telephone Number : 480-278-5073
Fax Number :
Provider Business Practice Location Address
First Line : 6659 E VIRGINIA ST
Second Line :
City : MESA
State : AZ
Zip : 85215-4339
Country : US
Telephone Number : 480-278-5073
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2021
Last Update Date : 04/29/2021

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Directions to “ CARLEY THOMPSON ” 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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