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MYRIAM ANGELIQUE VILLAPUDUA CCC-SLP

>> Speech-Language Pathologist >> Speech, Language and Hearing Service Providers

Registrant NPI Number: 1831479419

Individual Registrant:
 MYRIAM ANGELIQUE VILLAPUDUA CCC-SLP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
214 W MAIN ST  SOMERTON, AZ 85350-6329 US
Tel: 928-627-1120  Fax: 928-722-6113

Contact information for business:
PO BOX 617  SOMERTON, AZ 85350-0617 US
Tel: 928-236-8001  Fax: 928-722-6113

Registration Information:
NPI: 1831479419
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
AZSLP7439

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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