Individual provider · Type 1 NPI
Charronda Willoughby
Speech-Language Assistant · Peoria, AZ
NPI number
1003564162
Active
Practice location
9057 N 98th Ave
Peoria, AZ 85345-3730
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | SLPA-134941 (AZ) |
Speech-Language Assistant: Definition to come...
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About NPI 1003564162
Charronda Willoughby's National Provider Identifier is 1003564162, issued on Mar 16, 2022. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Peoria, AZ. The record was last updated on Mar 16, 2022.