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MR. RICARDO RIVAS MENDEZ
>> Speech-Language Pathologist >> Speech, Language and Hearing Service ProvidersRegistrant NPI Number: 1053833863
Individual Registrant:MR. RICARDO RIVAS MENDEZ
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
214 W MAIN ST SOMERTON, AZ 85350-6329 US
Tel: 928-627-1120 Fax: --
Tel: 928-627-1120 Fax: --
Contact information for business:
PO BOX 617 SOMERTON, AZ 85350-0617 US
Tel: 928-236-8001 Fax: --
Tel: 928-236-8001 Fax: --
Registration Information:
NPI: 1053833863
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 235Z00000X | Speech, Language and Hearing Service Providers Speech-Language Pathologist | AZ | SLP8715 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
