Most Relevant Information
Provider Data
| NPI Number: | 1003434051 |
| Provider Name: | DEMAURICE JIANA BASILE M.S., CCC-SLP |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | SLP12300 |
Most Important Dates
| Enumeration Date: | 07/07/2020 |
| Last Updated: | 07/07/2020 |
Provider Practice Location
1525 W FRYE RD
CHANDLER
AZ
852246178
Practice Location Phone/Fax
| Phone: | 4808127000 |
| Fax: |
Provider Mailing Location
1433 E SONRISAS ST
PHOENIX
AZ
850402380
Provider Mailing Phone/Fax
| Phone: | 6023844462 |
| Fax: |