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NPI Code Detail

MEDICARE: TAMARA THOMPSON SPLA

MEDICARE: TAMARA THOMPSON SPLA
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
12355S0801XSpeech-Language AssistantSLPA9437AZ

General Provider Information

NPI Number : 1346613759
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA THOMPSON SPLA
Provider Business Mailing Address
First Line : 1121 W LINDNER AVE
Second Line :
City : MESA
State : AZ
Zip : 85210-6740
Country : US
Telephone Number : 602-277-4482
Fax Number : 602-277-4483
Provider Business Practice Location Address
First Line : 921 W CAMELBACK RD
Second Line :
City : PHOENIX
State : AZ
Zip : 85013-2208
Country : US
Telephone Number : 602-277-4482
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2015
Last Update Date : 11/06/2015

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Directions to “ TAMARA THOMPSON SPLA” Practice Location

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