Individual provider · Type 1 NPI

Lisa A. Berg, SLPA

Local Education Agency (LEA) · Glendale, AZ

NPI number 1275863334 Active

Practice location

4650 W Sweetwater Ave
Glendale, AZ 85304-1505

Call (602) 347-2653 Map

Fax (602) 347-2709

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant 2355S0801XSLPA6380 (AZ)
Local Education Agency (LEA) Primary 251300000XSLPA6380 (AZ)

Local Education Agency (LEA): The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in…

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About NPI 1275863334

Lisa A. Berg, SLPA's National Provider Identifier is 1275863334, issued on Jan 12, 2010. The primary taxonomy on file is Local Education Agency (LEA) (251300000X), and the practice location is in Glendale, AZ. The record was last updated on Jan 12, 2010.