Anderson, Devin G

Anderson, Devin G is an individual health care provider with primary practice located at 36305 N Gantzel Rd Ste 104 , San Tan Valley AZ 85140. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Anderson, Devin G can be contacted via phone (480) 331-6521.

Contact Information

Primary practice address
36305 N Gantzel Rd Ste 104 San Tan Valley AZ 85140
Phone: (480) 331-6521
Fax: (480) 420-3659
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 0000806 Colorado
Speech, Language and Hearing Service Providers / Audiologist 231H00000X DA9305 Arizona

Profile Details

NPI number 1407296023
LBN Legal business name Anderson, Devin G
Credentials AU.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2013
Last updated Jul 19th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407296023 NPPES
Arizona MEDICAID 123372

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