Individual
BETH KERN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
(623) 486-6000
Mailing address
6330 W THUNDERBIRD RD, GLENDALE, AZ 85306-4002
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL5450
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
986218
—
AZ
Enumeration date
11/06/2007
Last updated
11/06/2007
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