Matt-Gongora, Molly D

Matt-Gongora, Molly D is an individual health care provider with primary practice located at 20402 N 15Th Ave , Phoenix AZ 85027-3636. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Assistant, which is considered as her primary health care specialty. Matt-Gongora, Molly D can be contacted via phone (623) 445-4952.

Contact Information

Primary practice address
20402 N 15Th Ave Phoenix AZ 85027-3636
Phone: (623) 445-4952
Fax: (623) 445-5083
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Assistant 2355S0801X SLPA8076 Arizona

Profile Details

NPI number 1316284078
LBN Legal business name Matt-Gongora, Molly D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2013
Last updated Jan 14th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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