MEDICARE: SPEECH AMERICA LEARNING ASSOCIATES

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	SLP2198	AZ

General Provider Information

NPI Number	:	1437279908
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SPEECH AMERICA LEARNING ASSOCIATES

Provider Business Mailing Address
First Line	:	21001 N TATUM BLVD
Second Line	:	SUITE 1630-126
City	:	PHOENIX
State	:	AZ
Zip	:	85050-4206
Country	:	US
Telephone Number	:	480-375-5054
Fax Number	:	480-368-7946

Provider Business Practice Location Address
First Line	:	745 N ALMA SCHOOL RD
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85201-4633
Country	:	US
Telephone Number	:	480-820-5186
Fax Number	:	480-820-5187

Authorized Official
Title or Position	:	LEAD SPEECH PATHOLOGIST
Name	:	MS. PAMELA KAY MCLAUGHLIN
Credential	:	SLP-CCC
Telephone Number	:	480-861-0043

Provider Enumeration Date	:	03/30/2007
Last Update Date	:	08/22/2020

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Directions to “SPEECH AMERICA LEARNING ASSOCIATES ” Practice Location

Language	Start Address	Practice Location

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