Individual
KIMBERLY RICHARDS
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
16442 N 61ST AVE, GLENDALE, AZ 85306-1122
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLPL1088
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
62226222
—
AZ
Enumeration date
12/20/2007
Last updated
12/20/2007
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