THERESE CHURCH-NYSTROM
NPI 1710422340
Speech-Language Pathologist in Phoenix, AZ

Q: What is Therese Church-nystrom's NPI number?

The NPI number for Therese Church-nystrom is 1710422340. It was assigned to this individual provider in the NPPES registry on January 6, 2017.

Q: What is Therese Church-nystrom's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Active since January 06, 2017

4545 N 36TH ST STE 125A, PHOENIX, AZ 85018(602) 224-0202(602) 224-0010 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, Jan 6, 2017 (2 updates tracked since 2017).

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About Therese Church-nystrom NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THERESE CHURCH-NYSTROM (NPI 1710422340) is an individual speech-language pathologist provider in Phoenix, Arizona, licensed in Arizona (SLP10414) and active in the NPI registry since January 2017. She maintains a secondary practice location in Scottsdale.

NPPES Registry Identity

NPI1710422340

Entity TypeIndividualFemale

Primary Taxonomy235Z00000X

Provider Legal NameTHERESE CHURCH-NYSTROM

Location Address4545 N 36TH ST STE 125APhoenix, AZ 85018-3456

Mailing Address20250 N 67th Ave Apt 2162Glendale, AZ 85308-6641 · (480) 603-5115

Phone(602) 224-0202

Fax(602) 224-0010

Sole ProprietorNo

Enumeration DateJanuary 6, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

NPPES CertifiedJuly 21, 2022

✔ NPI 1710422340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers

Taxonomy Code235Z00000X

License✔ Licensed in AZ · SLP10414

Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Also ListedSpecialist/Technologist · Speech-Language AssistantTaxonomy 2355S0801X · License 10414 (AZ)

4545 N 36TH ST STE 125A, Phoenix, AZ 85018

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Secondary Practice Location 1

Location 16991 E Camelback Rd, Suite D-300Scottsdale, AZ 85251-2432 · Phone (623) 349-1373

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARIZONA INSTITUTE FOR COMMUNICATION & COGNITIVE DISORDERS INC

Speech-Language Pathologist