Provider Demographics
NPI:1871963777
Name:VERMA, ANNA (CCC SLP)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:
Last Name:VERMA
Suffix:
Gender:F
Credentials:CCC SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6951 E MIRABEL AVE
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85209-6655
Mailing Address - Country:US
Mailing Address - Phone:309-533-0330
Mailing Address - Fax:
Practice Address - Street 1:6951 E MIRABEL AVE
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85209-6655
Practice Address - Country:US
Practice Address - Phone:309-533-0330
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLP9570235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist