MEDICARE: HOPE DILLON M.A.

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	2355S0801X	Speech-Language Assistant	SLPA9001	AZ

General Provider Information

NPI Number	:	1689079063
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOPE DILLON M.A.

Provider Business Mailing Address
First Line	:	1521 E MCNAIR DR
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-5031
Country	:	US
Telephone Number	:	480-472-3835
Fax Number	:

Provider Business Practice Location Address
First Line	:	1521 E MCNAIR DR
Second Line	:
City	:	TEMPE
State	:	AZ
Zip	:	85283-5031
Country	:	US
Telephone Number	:	480-472-3835
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/28/2014
Last Update Date	:	10/28/2014

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Directions to “ HOPE DILLON M.A.” Practice Location

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