Individual provider · Type 1 NPI

Marcelino Antonio Rivas

Speech-Language Assistant · Phoenix, AZ

NPI number 1891602199 Active

Practice location

1226 W Osborn Rd
Phoenix, AZ 85013-3695

Mailing address

3507 W Elm St
Phoenix, AZ 85019-3001

Specialties and licenses

TaxonomyCodeLicense
Speech-Language Assistant Primary 2355S0801XSLPA13617 (AZ)

Speech-Language Assistant: Definition to come...

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About NPI 1891602199

Marcelino Antonio Rivas's National Provider Identifier is 1891602199, issued on Aug 25, 2026. The primary taxonomy on file is Speech-Language Assistant (2355S0801X), and the practice location is in Phoenix, AZ. The record was last updated on Aug 25, 2026.