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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THERESE CHURCH-NYSTROM

Active

THERESE CHURCH-NYSTROM is a Speech, Language and Hearing Specialist healthcare provider located in PHOENIX, Arizona. NPI 1710422340 is currently active in the NPPES registry. Verify at CMS.

Speech, Language and Hearing Specialist · PHOENIX, AZ

Registration Details

NPI Number
1710422340
Provider Type
Individual
Gender
Female
NPI Issued
Jan 6, 2017 (9.6033955759799 yrs)
Last Updated
Jul 21, 2022
Licenses
SLP10414 (AZ)
10414 (AZ)

Practice Information

Address
4545 N 36TH ST STE 125A
PHOENIX, AZ, 850183456
Browse AZ providers · Browse ZIP 85018
Phone
6022240202
Fax
6022240010
Primary Specialty
Speech, Language and Hearing Specialist
235Z00000X

Other Speech, Language and Hearing Specialist Providers in PHOENIX, AZ

Name Credential NPI
COLLEEN M. HART MACCCSLP 1720083009
MRS. STEPHANIE LAVON RICH M.S. 1598766909
MRS. LUDIE ROLAND HANSEN M.S., CCC-SLP 1043206915
MS. SONIA S. ACKERMAN M.ED., CCC-S 1043293046
MR. CLINTON MICHAEL SAXTON M.S.,CCC-SLP 1215916820
KRISTIN NOEL BLANCHARD MS CCC-SLP 1265401228
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.