Southwest Center For Communication Disorders

LBN: Southwest Center For Communication Disorders
Southwest Center For Communication Disorders is an health care organization with primary practice located at 802 Ainsworth Dr Suite C, Prescott AZ 86301-1630. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Southwest Center For Communication Disorders can be contacted via phone (928) 777-0172, or through Crujido, Lisa via phone (928) 777-0172.

Contact Information

Primary practice address
802 Ainsworth Dr Suite C Prescott AZ 86301-1630
Phone: (928) 777-0172
Fax: (928) 777-0174
Website:
Map and Directions
Authorized official contact:
Name: Crujido, Lisa M.S. CCC-SLP
Phone: (928) 777-0172

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW-3469 Arizona
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 0732 Arizona

Profile Details

NPI number 1336190115
LBN Legal business name Southwest Center For Communication Disorders
DBA Doing business as
Authorized official Crujido, Lisa M.S. CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date May 15th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1336190115 NPPES
Arizona MEDICAID 036593

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