Individual
BETHANY KIYAH KIMBERLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25615 N RANCH GATE RD, SCOTTSDALE, AZ 85255-2141
(480) 221-7553
Mailing address
8338 E VIA DE LA LUNA, SCOTTSDALE, AZ 85258-3257
(480) 231-7562
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
SLPA7244
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112477
OTHER
AZ
Enumeration date
08/05/2011
Last updated
08/05/2011
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