Individual
KATHY N HA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10049 E DYNAMITE BLVD STE 110, SCOTTSDALE, AZ 85262-3694
(602) 419-0848
Mailing address
5818 W ILLINI ST, PHOENIX, AZ 85043-6428
(901) 337-9616
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP14684
AZ
Other
Enumeration date
07/31/2023
Last updated
10/01/2024
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