Individual
MARISA KUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.,CCC-SLP
Contact information
Practice address
551 S HIGLEY RD, MESA, AZ 85206-2148
(480) 892-9777
(480) 635-0222
Mailing address
551 S HIGLEY RD, MESA, AZ 85206-2148
(480) 892-9777
(480) 635-0222
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
TSLP5872
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
345176
—
AZ
Enumeration date
06/30/2008
Last updated
12/19/2012
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