Church-Nystrom, Therese

Church-Nystrom, Therese is an individual health care provider with primary practice located at 4545 N 36Th St Ste 125A , Phoenix AZ 85018-3456. She recently has 2 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Speech-Language Pathologist, Speech, Language and Hearing Service Providers / Speech-Language Assistant. Speech, Language and Hearing Service Providers / Speech-Language Pathologist is her primary health care specialty. Church-Nystrom, Therese can be contacted via phone (602) 224-0202.

Contact Information

Primary practice address
4545 N 36Th St Ste 125A Phoenix AZ 85018-3456
Phone: (602) 224-0202
Fax: (602) 224-0010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP10414 Arizona
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X 10414 Arizona

Profile Details

NPI number 1710422340
LBN Legal business name Church-Nystrom, Therese
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2017
Last updated Jul 21st, 2022 - 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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