Individual
MS. KATHY COLENE DANIELS BALZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. CCC-SLP
Contact information
Practice address
7229 N 12TH PL, PHOENIX, AZ 85020-5101
(602) 395-1575
(602) 395-1575
Mailing address
7229 N 12TH PL, PHOENIX, AZ 85020-5101
(602) 395-1575
(602) 395-1575
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1430
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
800971
AHCCC
AZ
Enumeration date
04/19/2007
Last updated
07/08/2007
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