Provider Demographics
NPI:1487775268
Name:HARPER, SANDRA ANN (CCC-A)
Entity type:Individual
Prefix:
First Name:SANDRA
Middle Name:ANN
Last Name:HARPER
Suffix:
Gender:F
Credentials:CCC-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1007 E WARNER RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-3242
Mailing Address - Country:US
Mailing Address - Phone:480-838-1212
Mailing Address - Fax:480-838-4334
Practice Address - Street 1:1007 E WARNER RD
Practice Address - Street 2:SUITE 105
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-3242
Practice Address - Country:US
Practice Address - Phone:480-838-1212
Practice Address - Fax:480-838-4334
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZDA718231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist