Provider Demographics
NPI:1588447395
Name:GALESTANIAN, ARLEEN
Entity type:Individual
Prefix:
First Name:ARLEEN
Middle Name:
Last Name:GALESTANIAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1849 S POWER RD APT 1362
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4336
Mailing Address - Country:US
Mailing Address - Phone:818-658-0101
Mailing Address - Fax:
Practice Address - Street 1:1849 S POWER RD APT 1362
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4336
Practice Address - Country:US
Practice Address - Phone:818-658-0101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-15
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZSLPA145182355S0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2355S0801XSpeech, Language and Hearing Service ProvidersSpecialist/TechnologistSpeech-Language Assistant