Provider Demographics
NPI:1174799332
Name:ARRIBA SPEECH PATHOLOGY INC
Entity type:Organization
Organization Name:ARRIBA SPEECH PATHOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:LAIKKO
Authorized Official - Suffix:
Authorized Official - Credentials:MS CCC SLP
Authorized Official - Phone:602-525-2744
Mailing Address - Street 1:17825 N 54TH ST
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85254-5835
Mailing Address - Country:US
Mailing Address - Phone:602-525-2744
Mailing Address - Fax:602-354-8283
Practice Address - Street 1:17825 N 54TH ST
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85254-5835
Practice Address - Country:US
Practice Address - Phone:602-525-2744
Practice Address - Fax:602-354-8283
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-07
Last Update Date:2008-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP0483251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health