Most Relevant Information
Provider Data
| NPI Number: | 1003541301 |
| Provider Name: | AMELIA LILIANA HERRERA |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | TSLP13841 |
Most Important Dates
| Enumeration Date: | 07/20/2022 |
| Last Updated: | 07/20/2022 |
Provider Practice Location
2625 E GROVERS AVE
PHOENIX
AZ
850321620
Practice Location Phone/Fax
| Phone: | 6024495200 |
| Fax: |
Provider Mailing Location
2625 E GROVERS AVE
PHOENIX
AZ
850321620
Provider Mailing Phone/Fax
| Phone: | 6024495200 |
| Fax: |