Individual provider · Type 1 NPI

Therese Church-Nystrom

Speech-Language Pathologist · Phoenix, AZ

NPI number 1710422340 Active

Practice location

4545 N 36th St Ste 125A
Phoenix, AZ 85018-3456

Call (602) 224-0202 Map

Fax (602) 224-0010

Mailing address

20250 N 67th Ave Apt 2162
Glendale, AZ 85308-6641

Other practice locations

  • 6991 E Camelback Rd, Suite D-300, Scottsdale, AZ 85251-2432 · (623) 349-1373

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Pathologist Primary 235Z00000XSLP10414 (AZ)
Speech-Language Assistant 2355S0801X10414 (AZ)

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 1710422340

Therese Church-Nystrom's National Provider Identifier is 1710422340, issued on Jan 6, 2017. The primary taxonomy on file is Speech-Language Pathologist (235Z00000X), and the practice location is in Phoenix, AZ. The record was last updated on Jul 21, 2022.