Individual provider · Type 1 NPI
Dove Marie Gundermann
Speech-Language Assistant · Prescott, AZ
NPI number
1871102350
Active
Practice location
300 W. Gurley St
Prescott, AZ 86301
Mailing address
5125 E Sapphire Dr
Prescott, AZ 86301-5906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Speech-Language Assistant Primary | 2355S0801X | SLPA12274 (AZ) |
Speech-Language Assistant: Definition to come...
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About NPI 1871102350
Dove Marie Gundermann's National Provider Identifier is 1871102350, issued on Jul 30, 2020. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Prescott, AZ. The record was last updated on Jul 30, 2020.