Individual
MRS. CAROLYN KAYE HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. ED. CCC-SLP
Contact information
Practice address
15272 W GABRIELA DR, SURPRISE, AZ 85379-6324
(623) 523-8500
Mailing address
2113 HOT OAK RIDGE ST, LAS VEGAS, NV 89134-5519
(702) 395-7818
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
AZ SLP6094Q
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
235Z00000X
—
AZ
Enumeration date
04/08/2010
Last updated
04/08/2010
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