Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Canon Tulloss

Individual provider Speech-Language Pathologist · NPI 1043035124

Canon Tulloss is a Speech-Language Pathologist in Flagstaff, Arizona. Licensed in Arizona. Registered with an NPI since 2024.

Licensed in
AZ
In the registry since
2024

Practice location Address checks out

2915 N 4th St
Flagstaff, AZ 86004-1809
Phone: (928) 779-1679
Fax: (928) 779-2822
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 15350 (AZ)

Record details

NPI number1043035124
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 22, 2024
Last updated in NPPESNovember 22, 2024
Certification dateNovember 22, 2024
Mailing address2915 N 4th St, Flagstaff, AZ 86004-1809

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