OrganizationActive
Abundant Life Therapy Services, LLC
NPI 1710417035 · Speech-Language Pathologist · Glendale, AZ
Provider details
- NPI number
- 1710417035
- Entity type
- Organization
- Primary specialty
- Speech-Language PathologistSpeech, Language and Hearing Service Providers
- Organization subpart
- No
- Authorized official
- Shanikka Perryman, Owner/Director(602) 614-5584
Specialties & taxonomies
Speech, Language and Hearing Service Providers
- Speech-Language Assistant2355S0801X
Speech, Language and Hearing Service Providers
Practice location
7836 W Mclellan Rd
Glendale, AZ 85303-3405
Phone: (602) 428-1617
Fax: (602) 636-2575
Approximate (ZIP-level) locationGet directions
Mailing address
7836 W Mclellan Rd
Glendale, AZ 85303-3405
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.