Individual
KRISTEN O'CONNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CCC-SLP
Contact information
Practice address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-7694
Mailing address
1400 S DOBSON RD, MESA, AZ 85202-4707
(480) 412-7694
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
SLP8907
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SLP8907
—
AZ
Enumeration date
06/26/2013
Last updated
03/29/2019
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