Individual
KELLY MARIE RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1930 E SOUTHERN AVE, TEMPE, AZ 85282
(480) 456-0719
(480) 456-0163
Mailing address
1930 E SOUTHERN AVE, TEMPE, AZ 85282-7518
(480) 456-0719
(480) 456-0163
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
104769
TX
235Z00000X
Speech-Language Pathologist
Primary
SLP11120
AZ
Other
Enumeration date
07/13/2009
Last updated
01/20/2020
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