Individual provider · Type 1 NPI
Madison Adia Kosmatka
Speech-Language Assistant · Phoenix, AZ
NPI number
1780447128
Active
Practice location
4708 East Cambridge Ave
Phoenix, AZ 85008
Fax (480) 383-6375
Mailing address
1005 E 8th St Unit 1005
Tempe, AZ 85281-7445
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | SLPA15010 (AZ) |
Speech-Language Assistant: Definition to come...
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About NPI 1780447128
Madison Adia Kosmatka's National Provider Identifier is 1780447128, issued on Jan 30, 2024. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Phoenix, AZ. The record was last updated on Jan 30, 2024.