| Az Board Of Regents On Behalf Of Northern Arizona University | |
|
912 Riordan Rd Bldg 27 A, Flagstaff, AZ 86011-0001 | |
| (928) 523-6773 | |
| (928) 523-4953 |
| Full Name | Az Board Of Regents On Behalf Of Northern Arizona University |
|---|---|
| Type | Facility |
| Speciality | Speech-language Pathologist |
| Location | 912 Riordan Rd Bldg 27 A, Flagstaff, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629581814 | NPI | - | NPPES |
| 725806 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Az Board Of Regents On Behalf Of Northern Arizona University Po Box 5630, Flagstaff, AZ 86011-5630 Ph: (928) 523-6773 | Az Board Of Regents On Behalf Of Northern Arizona University 912 Riordan Rd Bldg 27 A, Flagstaff, AZ 86011-0001 Ph: (928) 523-6773 |
Mrs. Beth Wilson, MNS, CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 3285 E Sparrow Ave, Flagstaff, AZ 86004 Phone: 928-773-8139 | |
Mr. Michael Mushtaq Ahmed, EDD.CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 8560 La Mancha Ln, Flagstaff, AZ 86004 Phone: 928-526-0034 | |
Amy Brown, Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001 Phone: 928-779-1679 Fax: 928-779-2822 | |
Speech Language Engineers, Llc Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 1550 N Foxglenn St, Flagstaff, AZ 86004 Phone: 480-299-5012 | |
Anna Cook, SPT Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 125 E Elm Ave, Ste 103, Flagstaff, AZ 86001 Phone: 928-779-1679 Fax: 928-779-2822 | |
Stacy Lynn Pinkston, SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 125 E Elm Ave, Ste. 103, Flagstaff, AZ 86001 Phone: 928-779-1679 Fax: 928-779-2822 | |
Nau Ihd Assistive Technology Center Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: Building 27a Riordan Road, Flagstaff, AZ 86001 Phone: 928-523-5878 Fax: 928-523-4953 |