Organization · Type 2 NPI

Fiesta Pediatric Therapy

Speech-Language Pathologist · Mesa, AZ

NPI number 1508931569 Active

Practice location

930 W Southern Ave, Suite 10
Mesa, AZ 85210-4938

Fax (480) 898-0138

Mailing address

1641 E Osborn Rd, Suite 1
Phoenix, AZ 85016-7146

Specialties and licenses

TaxonomyCodeLicense
Pediatric Physical Therapist 2251P0200XNone listed
Pediatric Occupational Therapist 225XP0200XNone listed
Speech-Language Pathologist Primary 235Z00000XNone listed

Speech-Language Pathologist: The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonan…

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About NPI 1508931569

Fiesta Pediatric Therapy's National Provider Identifier is 1508931569, issued on Nov 22, 2006. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Mesa, AZ. The record was last updated on Sep 11, 2025.