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NPI Code Detail

MEDICARE: ANNA M. MONTOYA M.A., CCC-SLP

MEDICARE:   ANNA M. MONTOYA  M.A., CCC-SLP
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 PathologistSLP#4297AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689705956
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA M. MONTOYA M.A., CCC-SLP
Provider Business Mailing Address
First Line : 11586 W PALO VERDE AVE
Second Line :
City : YOUNGTOWN
State : AZ
Zip : 85363-1737
Country : US
Telephone Number : 623-580-0139
Fax Number :
Provider Business Practice Location Address
First Line : 5656 E GRANT RD
Second Line : SUITE 100
City : TUCSON
State : AZ
Zip : 85712-2210
Country : US
Telephone Number : 520-885-9567
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 09/04/2007

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Directions to “ ANNA M. MONTOYA M.A., CCC-SLP” Practice Location

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