Individual
MRS. G MARIE KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CCC-SLP
Contact information
Practice address
8505 E VALLEY VIEW RD, SCOTTSDALE, AZ 85250-6768
(480) 484-5077
Mailing address
38065 N CAVE CREEK RD, UNIT 18, CAVE CREEK, AZ 85331-8533
(480) 595-9410
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP#0452
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
452889
—
AZ
Enumeration date
02/22/2007
Last updated
07/09/2007
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