Individual
KATHY LACAPA-BOEGL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.-CCC-SLP
Contact information
Practice address
1200 W WHITE MOUNTAIN BLVD, LAKESIDE, AZ 85929-6532
(928) 368-6126
Mailing address
PO BOX 1616, PINETOP, AZ 85935-1616
(928) 221-6580
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP0872
AZ
Other
Enumeration date
11/07/2013
Last updated
08/15/2024
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