MEDICARE: MS. MARY LOU FRAGOMENI-NUTTALL 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
1	235Z00000X	Speech-Language Pathologist	SLP0579	AZ

General Provider Information

NPI Number	:	1902012651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY LOU FRAGOMENI-NUTTALL CCC-SLP

Provider Business Mailing Address
First Line	:	5345 E FORT LOWELL RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1312
Country	:	US
Telephone Number	:	520-270-0830
Fax Number	:	520-324-1610

Provider Business Practice Location Address
First Line	:	5345 E FORT LOWELL RD
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-1312
Country	:	US
Telephone Number	:	520-270-0830
Fax Number	:	520-324-1610

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

Provider Enumeration Date	:	05/16/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1154841328 — KELI MARIE PERINO RDN
Practice Location Address:

5353 E FORT LOWELL RD
TUCSON, AZ
85712-1312

Practice Phone: 520-490-8452
Practice Fax:

1144454620 — KEITH REGAN D.C.
Practice Location Address:

7210 N CASABLANCA DR
TUCSON, AZ
85704-1312

Practice Phone: 520-544-2992
Practice Fax:

1083147011 — JANAE ELISE MAHER M.D.
Practice Location Address:

8895 E GOLF LINKS RD
TUCSON, AZ
85730-1312

Practice Phone: 202-936-6865
Practice Fax:

1790664548 — DANIELA SHERWIN
Practice Location Address:

4730 E GRANT RD
TUCSON, AZ
85712-2703

Practice Phone: 520-290-0300
Practice Fax:

1518538222 — KITTAPORN JONGLERTJANYA DO
Practice Location Address:

5929 E PIMA ST
TUCSON, AZ
85712-4353

Practice Phone: 520-222-9497
Practice Fax:

1366394678 — ADA GINGYEN LAM
Practice Location Address:

6137 E GRANT RD
TUCSON, AZ
85712-5829

Practice Phone: 520-436-3922
Practice Fax:

Directions to “ MS. MARY LOU FRAGOMENI-NUTTALL CCC-SLP” 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.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.