Individual
KIMBERLY VON DER AHE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1830 S ALMA SCHOOL RD, 130, MESA, AZ 85210-3056
(480) 902-0771
Mailing address
1830 S ALMA SCHOOL RD, 130, MESA, AZ 85210-3056
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP9989
AZ
Other
Enumeration date
05/20/2016
Last updated
05/20/2016
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