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

Therese Church-Nystrom

Individual provider Speech-Language Pathologist · NPI 1710422340

Therese Church-Nystrom is a Speech-Language Pathologist in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2017
Specialties on file
2

Practice location Address checks out

4545 N 36th St Ste 125A
Phoenix, AZ 85018-3456
Phone: (602) 224-0202
Fax: (602) 224-0010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6991 E Camelback Rd, Scottsdale, AZ 85251-2432 — (623) 349-1373

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence SLP10414 (AZ)
Speech-Language Assistant Taxonomy 2355S0801X · Licence 10414 (AZ)

Record details

NPI number1710422340
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2017
Last updated in NPPESJuly 21, 2022
Certification dateJuly 21, 2022

Other providers in Phoenix